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 $4.90 Median $6.31 Typical High $21.88 | Facility | None | $4.90 | $6.31 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $6.17 | Professional | None | $4.90 | $4.90 | $6.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.24 Median $7.24 Typical High $18.62 | Facility | None | $7.24 | $7.24 | $18.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.24 Median $5.25 Typical High $17.38 | Professional | None | $3.24 | $5.25 | $17.38 |
CDPHP Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | None | $7.24 | $7.24 | $7.24 |
Cigna Setting Facility Modifier None Typical Low $7.08 Median $15.49 Typical High $70.79 | Facility | None | $7.08 | $15.49 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $5.01 Median $8.91 Typical High $43.65 | Professional | None | $5.01 | $8.91 | $43.65 |
Emblem Health Setting Facility Modifier None Typical Low $6.03 Median $8.91 Typical High $16.22 | Facility | None | $6.03 | $8.91 | $16.22 |
Emblem Health Setting Professional Modifier None Typical Low $3.39 Median $4.37 Typical High $14.13 | Professional | None | $3.39 | $4.37 | $14.13 |
Excellus BCBS Setting Professional Modifier None Typical Low $3.63 Median $6.76 Typical High $7.94 | Professional | None | $3.63 | $6.76 | $7.94 |
Highmark BCBS Setting Facility Modifier None Typical Low $6.31 Median $6.31 Typical High $6.31 | Facility | None | $6.31 | $6.31 | $6.31 |
MVP Health Care Setting Facility Modifier None Typical Low $7.24 Median $13.80 Typical High $257.04 | Facility | None | $7.24 | $13.80 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $14.79 | Professional | None | $5.25 | $5.25 | $14.79 |
United Setting Facility Modifier None Typical Low $6.46 Median $7.24 Typical High $8.91 | Facility | None | $6.46 | $7.24 | $8.91 |
United Setting Professional Modifier None Typical Low $3.02 Median $4.37 Typical High $10.72 | Professional | None | $3.02 | $4.37 | $10.72 |
Univera Setting Facility Modifier None Typical Low $4.68 Median $8.32 Typical High $24.55 | Facility | None | $4.68 | $8.32 | $24.55 |
Univera Setting Professional Modifier None Typical Low $3.63 Median $6.76 Typical High $8.13 | Professional | None | $3.63 | $6.76 | $8.13 |
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 $2.45 Median $2.45 Typical High $3.09 | Professional | 52 · Reduced service | $2.45 | $2.45 | $3.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.98 Median $0.98 Typical High $1.23 | Professional | 53 · Discontinued | $0.98 | $0.98 | $1.23 |
Where New York sits
The same service costs 4.1 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· 34th of 51
$6.03
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.