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 $14.13 Median $18.20 Typical High $57.54 | Facility | None | $14.13 | $18.20 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $17.38 | Professional | None | $14.13 | $14.13 | $17.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $48.98 | Facility | None | $19.05 | $19.05 | $48.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.33 Median $15.14 Typical High $51.29 | Professional | None | $9.33 | $15.14 | $51.29 |
CDPHP Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | None | $19.05 | $19.05 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $41.69 Typical High $204.17 | Facility | None | $18.62 | $41.69 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $25.70 Typical High $125.89 | Professional | None | $13.18 | $25.70 | $125.89 |
Emblem Health Setting Facility Modifier None Typical Low $15.49 Median $23.44 Typical High $42.66 | Facility | None | $15.49 | $23.44 | $42.66 |
Emblem Health Setting Professional Modifier None Typical Low $8.91 Median $13.18 Typical High $36.31 | Professional | None | $8.91 | $13.18 | $36.31 |
Excellus BCBS Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Facility | None | $19.05 | $19.05 | $19.05 |
Excellus BCBS Setting Professional Modifier None Typical Low $16.22 Median $19.05 Typical High $25.12 | Professional | None | $16.22 | $19.05 | $25.12 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $33.88 Typical High $257.04 | Facility | None | $13.80 | $33.88 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $79.43 | Professional | None | $15.14 | $15.14 | $79.43 |
United Setting Facility Modifier None Typical Low $16.98 Median $19.05 Typical High $23.44 | Facility | None | $16.98 | $19.05 | $23.44 |
United Setting Professional Modifier None Typical Low $7.94 Median $11.48 Typical High $28.18 | Professional | None | $7.94 | $11.48 | $28.18 |
Univera Setting Facility Modifier None Typical Low $12.30 Median $19.05 Typical High $47.86 | Facility | None | $12.30 | $19.05 | $47.86 |
Univera Setting Professional Modifier None Typical Low $12.30 Median $19.05 Typical High $28.84 | Professional | None | $12.30 | $19.05 | $28.84 |
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 $7.08 Median $7.08 Typical High $8.13 | Professional | 52 · Reduced service | $7.08 | $7.08 | $8.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $2.82 Typical High $3.24 | Professional | 53 · Discontinued | $2.82 | $2.82 | $3.24 |
Where New York sits
The same service costs 5.4 times more in Alaska 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· 27th of 51
$18.62
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.