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 $6.31 Median $12.30 Typical High $36.31 | Facility | None | $6.31 | $12.30 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $12.30 | Professional | None | $6.31 | $6.31 | $12.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $38.02 | Facility | None | $14.45 | $14.45 | $38.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.75 Median $9.33 Typical High $29.51 | Professional | None | $5.75 | $9.33 | $29.51 |
CDPHP Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | None | $14.45 | $14.45 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $30.90 Typical High $91.20 | Facility | None | $14.13 | $30.90 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $16.98 Typical High $69.18 | Professional | None | $6.76 | $16.98 | $69.18 |
Emblem Health Setting Facility Modifier None Typical Low $5.01 Median $14.45 Typical High $32.36 | Facility | None | $5.01 | $14.45 | $32.36 |
Emblem Health Setting Professional Modifier None Typical Low $6.76 Median $8.71 Typical High $28.18 | Professional | None | $6.76 | $8.71 | $28.18 |
Excellus BCBS Setting Facility Modifier None Typical Low $6.92 Median $6.92 Typical High $6.92 | Facility | None | $6.92 | $6.92 | $6.92 |
Excellus BCBS Setting Professional Modifier None Typical Low $6.92 Median $9.55 Typical High $15.85 | Professional | None | $6.92 | $9.55 | $15.85 |
Highmark BCBS Setting Facility Modifier None Typical Low $9.55 Median $9.55 Typical High $9.55 | Facility | None | $9.55 | $9.55 | $9.55 |
MVP Health Care Setting Facility Modifier None Typical Low $10.72 Median $19.95 Typical High $257.04 | Facility | None | $10.72 | $19.95 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $29.51 | Professional | None | $9.33 | $9.33 | $29.51 |
United Setting Facility Modifier None Typical Low $12.88 Median $14.45 Typical High $18.20 | Facility | None | $12.88 | $14.45 | $18.20 |
United Setting Professional Modifier None Typical Low $6.03 Median $7.24 Typical High $21.38 | Professional | None | $6.03 | $7.24 | $21.38 |
Univera Setting Facility Modifier None Typical Low $6.92 Median $6.92 Typical High $21.38 | Facility | None | $6.92 | $6.92 | $21.38 |
Univera Setting Professional Modifier None Typical Low $6.92 Median $9.55 Typical High $16.22 | Professional | None | $6.92 | $9.55 | $16.22 |
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 $3.16 Median $3.16 Typical High $6.17 | Professional | 52 · Reduced service | $3.16 | $3.16 | $6.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.26 Median $1.26 Typical High $2.45 | Professional | 53 · Discontinued | $1.26 | $1.26 | $2.45 |
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· 48th of 51
$9.55
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.