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 $3.39 Median $15.85 Typical High $63.10 | Facility | None | $3.39 | $15.85 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $17.38 | Professional | None | $3.39 | $3.39 | $17.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $52.48 | Facility | None | $20.42 | $20.42 | $52.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.47 Median $8.13 Typical High $32.36 | Professional | None | $3.47 | $8.13 | $32.36 |
CDPHP Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None | $20.42 | $20.42 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $44.67 Typical High $52.48 | Facility | None | $18.20 | $44.67 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $3.55 Median $12.30 Typical High $97.72 | Professional | None | $3.55 | $12.30 | $97.72 |
Emblem Health Setting Facility Modifier None Typical Low $3.02 Median $20.42 Typical High $45.71 | Facility | None | $3.02 | $20.42 | $45.71 |
Emblem Health Setting Professional Modifier None Typical Low $8.13 Median $12.02 Typical High $39.81 | Professional | None | $8.13 | $12.02 | $39.81 |
Excellus BCBS Setting Professional Modifier None Typical Low $4.27 Median $17.38 Typical High $22.39 | Professional | None | $4.27 | $17.38 | $22.39 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $36.31 Typical High $257.04 | Facility | None | $13.80 | $36.31 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $41.69 | Professional | None | $4.79 | $4.79 | $41.69 |
United Setting Facility Modifier None Typical Low $18.20 Median $20.42 Typical High $25.70 | Facility | None | $18.20 | $20.42 | $25.70 |
United Setting Professional Modifier None Typical Low $6.31 Median $9.12 Typical High $30.20 | Professional | None | $6.31 | $9.12 | $30.20 |
Univera Setting Facility Modifier None Typical Low $10.72 Median $13.49 Typical High $23.44 | Facility | None | $10.72 | $13.49 | $23.44 |
Univera Setting Professional Modifier None Typical Low $4.27 Median $13.49 Typical High $22.39 | Professional | None | $4.27 | $13.49 | $22.39 |
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 $1.70 Median $1.70 Typical High $8.71 | Professional | 52 · Reduced service | $1.70 | $1.70 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.68 Median $0.68 Typical High $3.47 | Professional | 53 · Discontinued | $0.68 | $0.68 | $3.47 |
Where New York sits
The same service costs 7.6 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· 41st of 51
$11.48
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.