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 $10.23 Median $12.02 Typical High $34.67 | Facility | None | $10.23 | $12.02 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $12.59 | Professional | None | $10.23 | $10.23 | $12.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $36.31 | Facility | None | $13.80 | $13.80 | $36.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.76 Median $10.72 Typical High $36.31 | Professional | None | $6.76 | $10.72 | $36.31 |
CDPHP Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $13.49 Median $30.20 Typical High $151.36 | Facility | None | $13.49 | $30.20 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $18.62 Typical High $102.33 | Professional | None | $9.77 | $18.62 | $102.33 |
Emblem Health Setting Facility Modifier None Typical Low $8.51 Median $15.49 Typical High $30.90 | Facility | None | $8.51 | $15.49 | $30.90 |
Emblem Health Setting Professional Modifier None Typical Low $6.46 Median $9.77 Typical High $26.92 | Professional | None | $6.46 | $9.77 | $26.92 |
Excellus BCBS Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
Excellus BCBS Setting Professional Modifier None Typical Low $11.22 Median $13.80 Typical High $17.78 | Professional | None | $11.22 | $13.80 | $17.78 |
Highmark BCBS Setting Facility Modifier None Typical Low $9.33 Median $26.92 Typical High $66.07 | Facility | None | $9.33 | $26.92 | $66.07 |
Highmark BCBS Setting Professional Modifier None Typical Low $8.32 Median $9.33 Typical High $9.33 | Professional | None | $8.32 | $9.33 | $9.33 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $25.12 Typical High $257.04 | Facility | None | $13.80 | $25.12 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $54.95 | Professional | None | $11.22 | $11.22 | $54.95 |
United Setting Facility Modifier None Typical Low $12.59 Median $13.80 Typical High $17.38 | Facility | None | $12.59 | $13.80 | $17.38 |
United Setting Professional Modifier None Typical Low $5.75 Median $8.91 Typical High $21.88 | Professional | None | $5.75 | $8.91 | $21.88 |
Univera Setting Facility Modifier None Typical Low $9.12 Median $13.80 Typical High $32.36 | Facility | None | $9.12 | $13.80 | $32.36 |
Univera Setting Professional Modifier None Typical Low $9.12 Median $13.80 Typical High $18.20 | Professional | None | $9.12 | $13.80 | $18.20 |
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 $5.13 Median $5.13 Typical High $5.89 | Professional | 52 · Reduced service | $5.13 | $5.13 | $5.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.04 Typical High $2.34 | Professional | 53 · Discontinued | $2.04 | $2.04 | $2.34 |
Where New York sits
The same service costs 28.8 times more in Vermont 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· 31st of 51
$13.49
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.