How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $7.76 Median $11.48 Typical High $46.77 | Facility | None | $7.76 | $11.48 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $9.55 | Professional | None | $7.76 | $7.76 | $9.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.72 Median $10.72 Typical High $27.54 | Facility | None | $10.72 | $10.72 | $27.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.13 Median $8.32 Typical High $27.54 | Professional | None | $5.13 | $8.32 | $27.54 |
CDPHP Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | None | $10.72 | $10.72 | $10.72 |
Cigna Setting Facility Modifier None Typical Low $10.47 Median $26.92 Typical High $112.20 | Facility | None | $10.47 | $26.92 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $14.13 Typical High $67.61 | Professional | None | $7.41 | $14.13 | $67.61 |
Emblem Health Setting Facility Modifier None Typical Low $8.51 Median $12.88 Typical High $23.99 | Facility | None | $8.51 | $12.88 | $23.99 |
Emblem Health Setting Professional Modifier None Typical Low $5.01 Median $7.41 Typical High $20.42 | Professional | None | $5.01 | $7.41 | $20.42 |
Excellus BCBS Setting Facility Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Facility | None | $10.72 | $10.72 | $10.72 |
Excellus BCBS Setting Professional Modifier None Typical Low $9.12 Median $10.72 Typical High $13.80 | Professional | None | $9.12 | $10.72 | $13.80 |
Highmark BCBS Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $104.71 | Facility | None | $20.42 | $20.42 | $104.71 |
MVP Health Care Setting Facility Modifier None Typical Low $12.88 Median $19.95 Typical High $257.04 | Facility | None | $12.88 | $19.95 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $21.88 | Professional | None | $8.32 | $8.32 | $21.88 |
United Setting Facility Modifier None Typical Low $9.55 Median $10.72 Typical High $22.39 | Facility | None | $9.55 | $10.72 | $22.39 |
United Setting Professional Modifier None Typical Low $4.47 Median $6.92 Typical High $15.85 | Professional | None | $4.47 | $6.92 | $15.85 |
Univera Setting Facility Modifier None Typical Low $6.92 Median $10.72 Typical High $26.30 | Facility | None | $6.92 | $10.72 | $26.30 |
Univera Setting Professional Modifier None Typical Low $6.92 Median $10.72 Typical High $13.80 | Professional | None | $6.92 | $10.72 | $13.80 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.89 Median $3.89 Typical High $4.47 | Professional | 52 · Reduced service | $3.89 | $3.89 | $4.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.55 Median $1.55 Typical High $1.82 | Professional | 53 · Discontinued | $1.55 | $1.55 | $1.82 |
Where New York sits
The same service costs 3.9 times more in Kansas than in Nebraska. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
New York· 32nd of 51
$10.47
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.