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 $7.59 Median $11.22 Typical High $56.23 | Facility | None | $7.59 | $11.22 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $8.91 | Professional | None | $7.59 | $7.59 | $8.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.23 Median $10.23 Typical High $26.30 | Facility | None | $10.23 | $10.23 | $26.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.01 Median $8.13 Typical High $27.54 | Professional | None | $5.01 | $8.13 | $27.54 |
CDPHP Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | None | $10.23 | $10.23 | $10.23 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $22.39 Typical High $109.65 | Facility | None | $10.00 | $22.39 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $13.80 Typical High $102.33 | Professional | None | $7.08 | $13.80 | $102.33 |
Emblem Health Setting Facility Modifier None Typical Low $10.23 Median $13.80 Typical High $25.70 | Facility | None | $10.23 | $13.80 | $25.70 |
Emblem Health Setting Professional Modifier None Typical Low $4.79 Median $6.17 Typical High $19.95 | Professional | None | $4.79 | $6.17 | $19.95 |
Excellus BCBS Setting Professional Modifier None Typical Low $6.61 Median $10.23 Typical High $15.49 | Professional | None | $6.61 | $10.23 | $15.49 |
MVP Health Care Setting Facility Modifier None Typical Low $12.59 Median $19.05 Typical High $257.04 | Facility | None | $12.59 | $19.05 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $44.67 | Professional | None | $8.13 | $8.13 | $44.67 |
United Setting Facility Modifier None Typical Low $9.12 Median $10.23 Typical High $12.59 | Facility | None | $9.12 | $10.23 | $12.59 |
United Setting Professional Modifier None Typical Low $4.27 Median $6.17 Typical High $15.14 | Professional | None | $4.27 | $6.17 | $15.14 |
Univera Setting Facility Modifier None Typical Low $6.61 Median $11.75 Typical High $38.90 | Facility | None | $6.61 | $11.75 | $38.90 |
Univera Setting Professional Modifier None Typical Low $6.61 Median $10.23 Typical High $15.49 | Professional | None | $6.61 | $10.23 | $15.49 |
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 $3.80 Median $3.80 Typical High $4.37 | Professional | 52 · Reduced service | $3.80 | $3.80 | $4.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.51 Median $1.51 Typical High $1.74 | Professional | 53 · Discontinued | $1.51 | $1.51 | $1.74 |
Where New York sits
The same service costs 4.2 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· 28th of 51
$9.77
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.