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 $2.51 Median $3.24 Typical High $9.55 | Facility | None | $2.51 | $3.24 | $9.55 |
Aetna Setting Professional Modifier None Typical Low $2.51 Median $3.24 Typical High $5.25 | Professional | None | $2.51 | $3.24 | $5.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.80 Median $3.80 Typical High $9.77 | Facility | None | $3.80 | $3.80 | $9.77 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.70 Median $3.31 Typical High $9.33 | Professional | None | $1.70 | $3.31 | $9.33 |
CDPHP Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $3.80 | Professional | None | $3.80 | $3.80 | $3.80 |
Cigna Setting Facility Modifier None Typical Low $3.72 Median $8.13 Typical High $37.15 | Facility | None | $3.72 | $8.13 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $2.57 Median $4.68 Typical High $20.89 | Professional | None | $2.57 | $4.68 | $20.89 |
Emblem Health Setting Facility Modifier None Typical Low $2.00 Median $3.80 Typical High $8.51 | Facility | None | $2.00 | $3.80 | $8.51 |
Emblem Health Setting Professional Modifier None Typical Low $2.09 Median $3.98 Typical High $4.57 | Professional | None | $2.09 | $3.98 | $4.57 |
Excellus BCBS Setting Facility Modifier None Typical Low $1.45 Median $1.45 Typical High $1.45 | Facility | None | $1.45 | $1.45 | $1.45 |
Excellus BCBS Setting Professional Modifier None Typical Low $1.45 Median $3.63 Typical High $4.17 | Professional | None | $1.45 | $3.63 | $4.17 |
Highmark BCBS Setting Facility Modifier None Typical Low $2.57 Median $6.31 Typical High $13.80 | Facility | None | $2.57 | $6.31 | $13.80 |
Highmark BCBS Setting Professional Modifier None Typical Low $2.29 Median $2.29 Typical High $2.69 | Professional | None | $2.29 | $2.29 | $2.69 |
MVP Health Care Setting Facility Modifier None Typical Low $3.80 Median $7.59 Typical High $257.04 | Facility | None | $3.80 | $7.59 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $2.75 Median $2.75 Typical High $7.76 | Professional | None | $2.75 | $2.75 | $7.76 |
United Setting Facility Modifier None Typical Low $3.39 Median $3.80 Typical High $7.59 | Facility | None | $3.39 | $3.80 | $7.59 |
United Setting Professional Modifier None Typical Low $1.58 Median $2.29 Typical High $5.75 | Professional | None | $1.58 | $2.29 | $5.75 |
Univera Setting Facility Modifier None Typical Low $1.45 Median $1.45 Typical High $8.71 | Facility | None | $1.45 | $1.45 | $8.71 |
Univera Setting Professional Modifier None Typical Low $1.45 Median $3.63 Typical High $4.27 | Professional | None | $1.45 | $3.63 | $4.27 |
3 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 $1.29 Median $1.29 Typical High $1.62 | Professional | 52 · Reduced service | $1.29 | $1.29 | $1.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.51 Median $0.51 Typical High $0.65 | Professional | 53 · Discontinued | $0.51 | $0.51 | $0.65 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $1.70 Median $1.70 Typical High $1.70 | Professional | 59 · Distinct service | $1.70 | $1.70 | $1.70 |
Where New York sits
The same service costs 11.7 times more in Minnesota 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· 39th of 51
$3.31
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.