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 $2.24 Median $2.57 Typical High $7.59 | Facility | None | $2.24 | $2.57 | $7.59 |
Aetna Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $3.39 | Professional | None | $2.24 | $2.24 | $3.39 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.02 Median $3.02 Typical High $7.76 | Facility | None | $3.02 | $3.02 | $7.76 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.48 Median $2.88 Typical High $7.94 | Professional | None | $1.48 | $2.88 | $7.94 |
CDPHP Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | None | $3.02 | $3.02 | $3.02 |
Cigna Setting Facility Modifier None Typical Low $2.95 Median $6.76 Typical High $32.36 | Facility | None | $2.95 | $6.76 | $32.36 |
Cigna Setting Professional Modifier None Typical Low $2.14 Median $4.07 Typical High $18.20 | Professional | None | $2.14 | $4.07 | $18.20 |
Emblem Health Setting Facility Modifier None Typical Low $2.00 Median $3.31 Typical High $6.76 | Facility | None | $2.00 | $3.31 | $6.76 |
Emblem Health Setting Professional Modifier None Typical Low $1.41 Median $2.09 Typical High $5.89 | Professional | None | $1.41 | $2.09 | $5.89 |
Excellus BCBS Setting Facility Modifier None Typical Low $3.02 Median $3.02 Typical High $3.02 | Facility | None | $3.02 | $3.02 | $3.02 |
Excellus BCBS Setting Professional Modifier None Typical Low $2.57 Median $3.02 Typical High $3.63 | Professional | None | $2.57 | $3.02 | $3.63 |
Highmark BCBS Setting Facility Modifier None Typical Low $7.08 Median $7.94 Typical High $30.90 | Facility | None | $7.08 | $7.94 | $30.90 |
MVP Health Care Setting Facility Modifier None Typical Low $3.72 Median $6.46 Typical High $257.04 | Facility | None | $3.72 | $6.46 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $2.40 Median $2.40 Typical High $6.17 | Professional | None | $2.40 | $2.40 | $6.17 |
United Setting Facility Modifier None Typical Low $2.69 Median $3.02 Typical High $7.59 | Facility | None | $2.69 | $3.02 | $7.59 |
United Setting Professional Modifier None Typical Low $1.26 Median $1.82 Typical High $4.57 | Professional | None | $1.26 | $1.82 | $4.57 |
Univera Setting Facility Modifier None Typical Low $2.00 Median $3.02 Typical High $7.59 | Facility | None | $2.00 | $3.02 | $7.59 |
Univera Setting Professional Modifier None Typical Low $2.00 Median $3.02 Typical High $4.07 | Professional | None | $2.00 | $3.02 | $4.07 |
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 $1.12 Median $1.12 Typical High $1.29 | Professional | 52 · Reduced service | $1.12 | $1.12 | $1.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.45 Median $0.45 Typical High $0.51 | Professional | 53 · Discontinued | $0.45 | $0.45 | $0.51 |
Where New York sits
The same service costs 3.4 times more in Alaska 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· 30th of 51
$3.02
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.