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 $5.50 Median $8.13 Typical High $39.81 | Facility | None | $5.50 | $8.13 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $8.13 | Professional | None | $5.50 | $5.50 | $8.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.12 Median $9.12 Typical High $23.44 | Facility | None | $9.12 | $9.12 | $23.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.37 Median $6.61 Typical High $21.38 | Professional | None | $4.37 | $6.61 | $21.38 |
CDPHP Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | None | $9.12 | $9.12 | $9.12 |
Cigna Setting Facility Modifier None Typical Low $8.91 Median $19.95 Typical High $79.43 | Facility | None | $8.91 | $19.95 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $12.02 Typical High $60.26 | Professional | None | $6.46 | $12.02 | $60.26 |
Emblem Health Setting Facility Modifier None Typical Low $6.46 Median $10.47 Typical High $20.42 | Facility | None | $6.46 | $10.47 | $20.42 |
Emblem Health Setting Professional Modifier None Typical Low $4.27 Median $6.31 Typical High $17.78 | Professional | None | $4.27 | $6.31 | $17.78 |
Excellus BCBS Setting Facility Modifier None Typical Low $7.24 Median $7.24 Typical High $7.24 | Facility | None | $7.24 | $7.24 | $7.24 |
Excellus BCBS Setting Professional Modifier None Typical Low $6.03 Median $8.51 Typical High $10.00 | Professional | None | $6.03 | $8.51 | $10.00 |
Highmark BCBS Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
MVP Health Care Setting Facility Modifier None Typical Low $9.12 Median $16.22 Typical High $257.04 | Facility | None | $9.12 | $16.22 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $34.67 | Professional | None | $7.08 | $7.08 | $34.67 |
United Setting Facility Modifier None Typical Low $8.13 Median $9.12 Typical High $30.20 | Facility | None | $8.13 | $9.12 | $30.20 |
United Setting Professional Modifier None Typical Low $3.80 Median $5.50 Typical High $13.49 | Professional | None | $3.80 | $5.50 | $13.49 |
Univera Setting Facility Modifier None Typical Low $6.03 Median $7.24 Typical High $16.98 | Facility | None | $6.03 | $7.24 | $16.98 |
Univera Setting Professional Modifier None Typical Low $6.03 Median $8.51 Typical High $10.23 | Professional | None | $6.03 | $8.51 | $10.23 |
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 $2.75 Median $2.75 Typical High $3.89 | Professional | 52 · Reduced service | $2.75 | $2.75 | $3.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.10 Median $1.10 Typical High $1.55 | Professional | 53 · Discontinued | $1.10 | $1.10 | $1.55 |
Where New York sits
The same service costs 5.9 times more in Kansas than in Alabama. 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· 42nd of 51
$7.24
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.