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 $25.12 Median $30.20 Typical High $85.11 | Facility | None | $25.12 | $30.20 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $30.90 | Professional | None | $25.12 | $25.12 | $30.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $89.13 | Facility | None | $33.88 | $33.88 | $89.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.60 Median $26.30 Typical High $89.13 | Professional | None | $16.60 | $26.30 | $89.13 |
CDPHP Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $74.13 Typical High $371.54 | Facility | None | $33.11 | $74.13 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $23.44 Median $45.71 Typical High $223.87 | Professional | None | $23.44 | $45.71 | $223.87 |
Emblem Health Setting Facility Modifier None Typical Low $21.88 Median $38.02 Typical High $75.86 | Facility | None | $21.88 | $38.02 | $75.86 |
Emblem Health Setting Professional Modifier None Typical Low $15.85 Median $23.99 Typical High $66.07 | Professional | None | $15.85 | $23.99 | $66.07 |
Excellus BCBS Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
Excellus BCBS Setting Professional Modifier None Typical Low $27.54 Median $33.88 Typical High $40.74 | Professional | None | $27.54 | $33.88 | $40.74 |
Highmark BCBS Setting Facility Modifier None Typical Low $25.70 Median $29.51 Typical High $177.83 | Facility | None | $25.70 | $29.51 | $177.83 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $61.66 Typical High $257.04 | Facility | None | $13.80 | $61.66 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $69.18 | Professional | None | $13.80 | $13.80 | $69.18 |
United Setting Facility Modifier None Typical Low $30.90 Median $33.88 Typical High $42.66 | Facility | None | $30.90 | $33.88 | $42.66 |
United Setting Professional Modifier None Typical Low $14.13 Median $20.42 Typical High $51.29 | Professional | None | $14.13 | $20.42 | $51.29 |
Univera Setting Facility Modifier None Typical Low $22.39 Median $33.88 Typical High $79.43 | Facility | None | $22.39 | $33.88 | $79.43 |
Univera Setting Professional Modifier None Typical Low $22.39 Median $33.88 Typical High $43.65 | Professional | None | $22.39 | $33.88 | $43.65 |
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 $12.59 Median $12.59 Typical High $14.45 | Professional | 52 · Reduced service | $12.59 | $12.59 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.01 Typical High $5.75 | Professional | 53 · Discontinued | $5.01 | $5.01 | $5.75 |
Where New York sits
The same service costs 4.4 times more in Kansas than in Alabama. 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· 30th of 51
$32.36
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.