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 $2.69 Median $12.59 Typical High $50.12 | Facility | None | $2.69 | $12.59 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $2.69 Median $2.69 Typical High $13.80 | Professional | None | $2.69 | $2.69 | $13.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $42.66 | Facility | None | $16.22 | $16.22 | $42.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.88 Median $6.46 Typical High $25.70 | Professional | None | $2.88 | $6.46 | $25.70 |
CDPHP Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | None | $16.22 | $16.22 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $34.67 Typical High $42.66 | Facility | None | $14.79 | $34.67 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $9.77 Typical High $79.43 | Professional | None | $2.95 | $9.77 | $79.43 |
Emblem Health Setting Facility Modifier None Typical Low $3.02 Median $16.22 Typical High $36.31 | Facility | None | $3.02 | $16.22 | $36.31 |
Emblem Health Setting Professional Modifier None Typical Low $6.46 Median $9.77 Typical High $31.62 | Professional | None | $6.46 | $9.77 | $31.62 |
Excellus BCBS Setting Professional Modifier None Typical Low $3.47 Median $13.80 Typical High $17.78 | Professional | None | $3.47 | $13.80 | $17.78 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $29.51 Typical High $257.04 | Facility | None | $13.80 | $29.51 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $2.69 Median $2.69 Typical High $33.88 | Professional | None | $2.69 | $2.69 | $33.88 |
United Setting Facility Modifier None Typical Low $14.79 Median $16.22 Typical High $20.42 | Facility | None | $14.79 | $16.22 | $20.42 |
United Setting Professional Modifier None Typical Low $4.90 Median $7.41 Typical High $23.99 | Professional | None | $4.90 | $7.41 | $23.99 |
Univera Setting Facility Modifier None Typical Low $8.71 Median $10.72 Typical High $18.62 | Facility | None | $8.71 | $10.72 | $18.62 |
Univera Setting Professional Modifier None Typical Low $3.80 Median $10.72 Typical High $17.78 | Professional | None | $3.80 | $10.72 | $17.78 |
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 $1.35 Median $1.35 Typical High $6.92 | Professional | 52 · Reduced service | $1.35 | $1.35 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.54 Median $0.54 Typical High $2.75 | Professional | 53 · Discontinued | $0.54 | $0.54 | $2.75 |
Where New York sits
The same service costs 8.9 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· 40th of 51
$9.12
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.