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 $2.40 Median $3.80 Typical High $13.80 | Facility | None | $2.40 | $3.80 | $13.80 |
Aetna Setting Professional Modifier None Typical Low $2.40 Median $2.40 Typical High $3.80 | Professional | None | $2.40 | $2.40 | $3.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.47 Median $4.47 Typical High $11.75 | Facility | None | $4.47 | $4.47 | $11.75 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.78 Median $3.09 Typical High $10.00 | Professional | None | $1.78 | $3.09 | $10.00 |
CDPHP Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | None | $4.47 | $4.47 | $4.47 |
Cigna Setting Facility Modifier None Typical Low $4.37 Median $11.75 Typical High $38.90 | Facility | None | $4.37 | $11.75 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $2.57 Median $5.37 Typical High $21.38 | Professional | None | $2.57 | $5.37 | $21.38 |
Emblem Health Setting Facility Modifier None Typical Low $2.51 Median $4.47 Typical High $10.00 | Facility | None | $2.51 | $4.47 | $10.00 |
Emblem Health Setting Professional Modifier None Typical Low $2.09 Median $2.69 Typical High $8.71 | Professional | None | $2.09 | $2.69 | $8.71 |
Excellus BCBS Setting Professional Modifier None Typical Low $2.95 Median $4.37 Typical High $4.90 | Professional | None | $2.95 | $4.37 | $4.90 |
MVP Health Care Setting Facility Modifier None Typical Low $4.47 Median $13.80 Typical High $257.04 | Facility | None | $4.47 | $13.80 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $1.82 Median $1.82 Typical High $9.12 | Professional | None | $1.82 | $1.82 | $9.12 |
United Setting Facility Modifier None Typical Low $3.98 Median $4.47 Typical High $5.62 | Facility | None | $3.98 | $4.47 | $5.62 |
United Setting Professional Modifier None Typical Low $1.86 Median $2.69 Typical High $6.61 | Professional | None | $1.86 | $2.69 | $6.61 |
Univera Setting Facility Modifier None Typical Low $2.95 Median $5.13 Typical High $12.59 | Facility | None | $2.95 | $5.13 | $12.59 |
Univera Setting Professional Modifier None Typical Low $2.95 Median $4.37 Typical High $5.01 | Professional | None | $2.95 | $4.37 | $5.01 |
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 $1.20 Median $1.20 Typical High $1.91 | Professional | 52 · Reduced service | $1.20 | $1.20 | $1.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.48 Median $0.48 Typical High $0.76 | Professional | 53 · Discontinued | $0.48 | $0.48 | $0.76 |
Where New York sits
The same service costs 3.4 times more in Alaska 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· 32nd of 51
$3.72
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.