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 $2.82 Median $4.37 Typical High $15.85 | Facility | None | $2.82 | $4.37 | $15.85 |
Aetna Setting Professional Modifier None Typical Low $2.82 Median $2.82 Typical High $4.37 | Professional | None | $2.82 | $2.82 | $4.37 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.13 Median $5.13 Typical High $13.49 | Facility | None | $5.13 | $5.13 | $13.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.04 Median $3.55 Typical High $11.75 | Professional | None | $2.04 | $3.55 | $11.75 |
CDPHP Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | None | $5.13 | $5.13 | $5.13 |
Cigna Setting Facility Modifier None Typical Low $5.01 Median $13.49 Typical High $44.67 | Facility | None | $5.01 | $13.49 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $5.75 Typical High $26.30 | Professional | None | $2.95 | $5.75 | $26.30 |
Emblem Health Setting Facility Modifier None Typical Low $2.51 Median $5.13 Typical High $11.48 | Facility | None | $2.51 | $5.13 | $11.48 |
Emblem Health Setting Professional Modifier None Typical Low $2.40 Median $3.09 Typical High $10.00 | Professional | None | $2.40 | $3.09 | $10.00 |
Excellus BCBS Setting Professional Modifier None Typical Low $3.39 Median $5.13 Typical High $5.62 | Professional | None | $3.39 | $5.13 | $5.62 |
MVP Health Care Setting Facility Modifier None Typical Low $5.13 Median $13.80 Typical High $257.04 | Facility | None | $5.13 | $13.80 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $3.31 Median $3.31 Typical High $10.47 | Professional | None | $3.31 | $3.31 | $10.47 |
United Setting Facility Modifier None Typical Low $4.57 Median $5.13 Typical High $8.91 | Facility | None | $4.57 | $5.13 | $8.91 |
United Setting Professional Modifier None Typical Low $2.14 Median $2.75 Typical High $7.59 | Professional | None | $2.14 | $2.75 | $7.59 |
Univera Setting Facility Modifier None Typical Low $3.39 Median $5.89 Typical High $14.79 | Facility | None | $3.39 | $5.89 | $14.79 |
Univera Setting Professional Modifier None Typical Low $3.39 Median $5.13 Typical High $5.75 | Professional | None | $3.39 | $5.13 | $5.75 |
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 $1.41 Median $1.41 Typical High $2.19 | Professional | 52 · Reduced service | $1.41 | $1.41 | $2.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.56 Median $0.56 Typical High $0.87 | Professional | 53 · Discontinued | $0.56 | $0.56 | $0.87 |
Where New York sits
The same service costs 3.7 times more in Kansas than in Kentucky. 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· 39th of 51
$3.98
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.