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 $10.47 | Facility | None | $2.51 | $3.24 | $10.47 |
Aetna Setting Professional Modifier None Typical Low $2.51 Median $2.51 Typical High $3.16 | Professional | None | $2.51 | $2.51 | $3.16 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.47 Median $3.47 Typical High $8.91 | Facility | None | $3.47 | $3.47 | $8.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.70 Median $2.63 Typical High $8.91 | Professional | None | $1.70 | $2.63 | $8.91 |
CDPHP Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | None | $3.47 | $3.47 | $3.47 |
Cigna Setting Facility Modifier None Typical Low $3.39 Median $8.91 Typical High $38.90 | Facility | None | $3.39 | $8.91 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $2.40 Median $4.68 Typical High $16.60 | Professional | None | $2.40 | $4.68 | $16.60 |
Emblem Health Setting Facility Modifier None Typical Low $1.51 Median $3.47 Typical High $7.76 | Facility | None | $1.51 | $3.47 | $7.76 |
Emblem Health Setting Professional Modifier None Typical Low $1.62 Median $2.04 Typical High $6.61 | Professional | None | $1.62 | $2.04 | $6.61 |
Excellus BCBS Setting Professional Modifier None Typical Low $2.24 Median $3.47 Typical High $3.80 | Professional | None | $2.24 | $3.47 | $3.80 |
Highmark BCBS Setting Facility Modifier None Typical Low $2.51 Median $2.69 Typical High $2.95 | Facility | None | $2.51 | $2.69 | $2.95 |
MVP Health Care Setting Facility Modifier None Typical Low $3.47 Median $13.80 Typical High $257.04 | Facility | None | $3.47 | $13.80 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $2.75 Median $2.75 Typical High $7.08 | Professional | None | $2.75 | $2.75 | $7.08 |
United Setting Facility Modifier None Typical Low $3.09 Median $3.47 Typical High $4.27 | Facility | None | $3.09 | $3.47 | $4.27 |
United Setting Professional Modifier None Typical Low $1.45 Median $2.09 Typical High $5.13 | Professional | None | $1.45 | $2.09 | $5.13 |
Univera Setting Facility Modifier None Typical Low $2.24 Median $3.98 Typical High $10.00 | Facility | None | $2.24 | $3.98 | $10.00 |
Univera Setting Professional Modifier None Typical Low $2.24 Median $3.47 Typical High $3.89 | Professional | None | $2.24 | $3.47 | $3.89 |
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 $1.29 Median $1.29 Typical High $1.45 | Professional | 52 · Reduced service | $1.29 | $1.29 | $1.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.51 Median $0.51 Typical High $0.58 | Professional | 53 · Discontinued | $0.51 | $0.51 | $0.58 |
Where New York sits
The same service costs 6.2 times more in Kansas than in Maryland. 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· 37th of 51
$3.09
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.