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 $3.24 Median $7.41 Typical High $29.51 | Facility | None | $3.24 | $7.41 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $3.24 Median $3.24 Typical High $8.13 | Professional | None | $3.24 | $3.24 | $8.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.55 Median $9.55 Typical High $24.55 | Facility | None | $9.55 | $9.55 | $24.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.07 Median $5.75 Typical High $19.50 | Professional | None | $4.07 | $5.75 | $19.50 |
CDPHP Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | None | $9.55 | $9.55 | $9.55 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $23.99 Typical High $50.12 | Facility | None | $9.33 | $23.99 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $5.62 Median $11.22 Typical High $47.86 | Professional | None | $5.62 | $11.22 | $47.86 |
Emblem Health Setting Facility Modifier None Typical Low $5.50 Median $9.55 Typical High $21.38 | Facility | None | $5.50 | $9.55 | $21.38 |
Emblem Health Setting Professional Modifier None Typical Low $4.47 Median $5.75 Typical High $18.62 | Professional | None | $4.47 | $5.75 | $18.62 |
Excellus BCBS Setting Professional Modifier None Typical Low $6.31 Median $9.55 Typical High $10.47 | Professional | None | $6.31 | $9.55 | $10.47 |
MVP Health Care Setting Facility Modifier None Typical Low $9.55 Median $18.20 Typical High $257.04 | Facility | None | $9.55 | $18.20 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $19.50 | Professional | None | $6.61 | $6.61 | $19.50 |
United Setting Facility Modifier None Typical Low $8.51 Median $9.55 Typical High $30.20 | Facility | None | $8.51 | $9.55 | $30.20 |
United Setting Professional Modifier None Typical Low $3.98 Median $4.79 Typical High $14.45 | Professional | None | $3.98 | $4.79 | $14.45 |
Univera Setting Facility Modifier None Typical Low $6.31 Median $10.96 Typical High $29.51 | Facility | None | $6.31 | $10.96 | $29.51 |
Univera Setting Professional Modifier None Typical Low $6.31 Median $9.55 Typical High $10.72 | Professional | None | $6.31 | $9.55 | $10.72 |
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 $1.62 Median $1.62 Typical High $4.07 | Professional | 52 · Reduced service | $1.62 | $1.62 | $4.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.65 Median $0.65 Typical High $1.62 | Professional | 53 · Discontinued | $0.65 | $0.65 | $1.62 |
Where New York sits
The same service costs 3.4 times more in Alaska 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· 39th of 51
$7.41
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.