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 $1.78 Median $5.50 Typical High $21.38 | Facility | None | $1.78 | $5.50 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $1.78 Median $2.14 Typical High $7.59 | Professional | None | $1.78 | $2.14 | $7.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.08 Median $7.08 Typical High $18.20 | Facility | None | $7.08 | $7.08 | $18.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.24 Median $3.55 Typical High $12.88 | Professional | None | $2.24 | $3.55 | $12.88 |
CDPHP Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | None | $7.08 | $7.08 | $7.08 |
Cigna Setting Facility Modifier None Typical Low $6.31 Median $14.79 Typical High $25.70 | Facility | None | $6.31 | $14.79 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $1.95 Median $6.46 Typical High $33.88 | Professional | None | $1.95 | $6.46 | $33.88 |
Emblem Health Setting Facility Modifier None Typical Low $1.51 Median $7.08 Typical High $15.85 | Facility | None | $1.51 | $7.08 | $15.85 |
Emblem Health Setting Professional Modifier None Typical Low $2.82 Median $4.17 Typical High $13.49 | Professional | None | $2.82 | $4.17 | $13.49 |
Excellus BCBS Setting Facility Modifier None Typical Low $2.04 Median $2.04 Typical High $2.04 | Facility | None | $2.04 | $2.04 | $2.04 |
Excellus BCBS Setting Professional Modifier None Typical Low $2.04 Median $4.57 Typical High $7.76 | Professional | None | $2.04 | $4.57 | $7.76 |
MVP Health Care Setting Facility Modifier None Typical Low $4.37 Median $13.80 Typical High $257.04 | Facility | None | $4.37 | $13.80 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $2.00 Median $2.00 Typical High $14.45 | Professional | None | $2.00 | $2.00 | $14.45 |
United Setting Facility Modifier None Typical Low $6.31 Median $7.08 Typical High $8.71 | Facility | None | $6.31 | $7.08 | $8.71 |
United Setting Professional Modifier None Typical Low $2.95 Median $4.17 Typical High $9.55 | Professional | None | $2.95 | $4.17 | $9.55 |
Univera Setting Facility Modifier None Typical Low $2.04 Median $2.04 Typical High $8.13 | Facility | None | $2.04 | $2.04 | $8.13 |
Univera Setting Professional Modifier None Typical Low $2.04 Median $4.57 Typical High $7.76 | Professional | None | $2.04 | $4.57 | $7.76 |
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 $0.87 Median $0.87 Typical High $2.95 | Professional | 52 · Reduced service | $0.87 | $0.87 | $2.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.35 Median $0.35 Typical High $1.20 | Professional | 53 · Discontinued | $0.35 | $0.35 | $1.20 |
Highmark BCBS Setting Facility Modifier XU · Unusual separate service Typical Low $4.68 Median $4.68 Typical High $4.68 | Facility | XU · Unusual separate service | $4.68 | $4.68 | $4.68 |
Where New York sits
The same service costs 5.4 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· 47th of 51
$4.17
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.