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 $26.30 Median $33.88 Typical High $125.89 | Facility | None | $26.30 | $33.88 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $32.36 | Professional | None | $26.30 | $26.30 | $32.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $91.20 | Facility | None | $35.48 | $35.48 | $91.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.38 Median $26.92 Typical High $93.33 | Professional | None | $17.38 | $26.92 | $93.33 |
CDPHP Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $77.62 Typical High $380.19 | Facility | None | $34.67 | $77.62 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $47.86 Typical High $234.42 | Professional | None | $24.55 | $47.86 | $234.42 |
Emblem Health Setting Facility Modifier None Typical Low $21.88 Median $35.48 Typical High $79.43 | Facility | None | $21.88 | $35.48 | $79.43 |
Emblem Health Setting Professional Modifier None Typical Low $16.60 Median $21.38 Typical High $69.18 | Professional | None | $16.60 | $21.38 | $69.18 |
Excellus BCBS Setting Professional Modifier None Typical Low $19.95 Median $35.48 Typical High $39.81 | Professional | None | $19.95 | $35.48 | $39.81 |
Highmark BCBS Setting Facility Modifier None Typical Low $25.70 Median $30.90 Typical High $38.90 | Facility | None | $25.70 | $30.90 | $38.90 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $63.10 Typical High $257.04 | Facility | None | $13.80 | $63.10 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $100.00 | Professional | None | $28.18 | $28.18 | $100.00 |
United Setting Facility Modifier None Typical Low $31.62 Median $35.48 Typical High $48.98 | Facility | None | $31.62 | $35.48 | $48.98 |
United Setting Professional Modifier None Typical Low $14.79 Median $21.38 Typical High $52.48 | Professional | None | $14.79 | $21.38 | $52.48 |
Univera Setting Facility Modifier None Typical Low $23.44 Median $40.74 Typical High $72.44 | Facility | None | $23.44 | $40.74 | $72.44 |
Univera Setting Professional Modifier None Typical Low $19.95 Median $35.48 Typical High $47.86 | Professional | None | $19.95 | $35.48 | $47.86 |
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 $13.18 Median $13.18 Typical High $15.14 | Professional | 52 · Reduced service | $13.18 | $13.18 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.25 Typical High $6.03 | Professional | 53 · Discontinued | $5.25 | $5.25 | $6.03 |
Where New York sits
The same service costs 4.3 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
$30.20
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.