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 $6.61 Median $8.32 Typical High $23.44 | Facility | None | $6.61 | $8.32 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | None | $6.61 | $6.61 | $6.61 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.76 Median $7.76 Typical High $19.95 | Facility | None | $7.76 | $7.76 | $19.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.80 Median $7.08 Typical High $22.91 | Professional | None | $3.80 | $7.08 | $22.91 |
CDPHP Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | None | $7.76 | $7.76 | $7.76 |
Cigna Setting Facility Modifier None Typical Low $7.59 Median $19.95 Typical High $87.10 | Facility | None | $7.59 | $19.95 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $5.62 Median $11.48 Typical High $83.18 | Professional | None | $5.62 | $11.48 | $83.18 |
Emblem Health Setting Facility Modifier None Typical Low $3.98 Median $7.76 Typical High $17.38 | Facility | None | $3.98 | $7.76 | $17.38 |
Emblem Health Setting Professional Modifier None Typical Low $3.63 Median $4.68 Typical High $14.79 | Professional | None | $3.63 | $4.68 | $14.79 |
Excellus BCBS Setting Professional Modifier None Typical Low $5.01 Median $7.76 Typical High $11.75 | Professional | None | $5.01 | $7.76 | $11.75 |
MVP Health Care Setting Facility Modifier None Typical Low $10.00 Median $14.45 Typical High $257.04 | Facility | None | $10.00 | $14.45 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $15.85 | Professional | None | $6.17 | $6.17 | $15.85 |
United Setting Facility Modifier None Typical Low $6.92 Median $7.76 Typical High $9.55 | Facility | None | $6.92 | $7.76 | $9.55 |
United Setting Professional Modifier None Typical Low $3.24 Median $5.25 Typical High $12.02 | Professional | None | $3.24 | $5.25 | $12.02 |
Univera Setting Facility Modifier None Typical Low $5.01 Median $8.91 Typical High $33.88 | Facility | None | $5.01 | $8.91 | $33.88 |
Univera Setting Professional Modifier None Typical Low $5.01 Median $7.76 Typical High $11.75 | Professional | None | $5.01 | $7.76 | $11.75 |
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 $3.31 Median $3.31 Typical High $3.31 | Professional | 52 · Reduced service | $3.31 | $3.31 | $3.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.32 Median $1.32 Typical High $1.32 | Professional | 53 · Discontinued | $1.32 | $1.32 | $1.32 |
Where New York sits
The same service costs 3.5 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· 31st of 51
$7.41
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.