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 $6.46 Median $8.13 Typical High $26.30 | Facility | None | $6.46 | $8.13 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $7.24 | Professional | None | $6.46 | $6.46 | $7.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.51 Median $8.51 Typical High $22.39 | Facility | None | $8.51 | $8.51 | $22.39 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.27 Median $6.92 Typical High $22.91 | Professional | None | $4.27 | $6.92 | $22.91 |
CDPHP Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | None | $8.51 | $8.51 | $8.51 |
Cigna Setting Facility Modifier None Typical Low $8.32 Median $19.05 Typical High $93.33 | Facility | None | $8.32 | $19.05 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $5.89 Median $11.75 Typical High $57.54 | Professional | None | $5.89 | $11.75 | $57.54 |
Emblem Health Setting Facility Modifier None Typical Low $7.59 Median $11.22 Typical High $19.50 | Facility | None | $7.59 | $11.22 | $19.50 |
Emblem Health Setting Professional Modifier None Typical Low $4.07 Median $6.03 Typical High $16.60 | Professional | None | $4.07 | $6.03 | $16.60 |
Excellus BCBS Setting Facility Modifier None Typical Low $8.51 Median $8.51 Typical High $8.51 | Facility | None | $8.51 | $8.51 | $8.51 |
Excellus BCBS Setting Professional Modifier None Typical Low $7.24 Median $8.51 Typical High $10.23 | Professional | None | $7.24 | $8.51 | $10.23 |
MVP Health Care Setting Facility Modifier None Typical Low $10.72 Median $16.22 Typical High $257.04 | Facility | None | $10.72 | $16.22 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $17.78 | Professional | None | $6.92 | $6.92 | $17.78 |
United Setting Facility Modifier None Typical Low $7.76 Median $8.51 Typical High $23.99 | Facility | None | $7.76 | $8.51 | $23.99 |
United Setting Professional Modifier None Typical Low $3.63 Median $5.62 Typical High $12.88 | Professional | None | $3.63 | $5.62 | $12.88 |
Univera Setting Facility Modifier None Typical Low $5.62 Median $8.51 Typical High $21.88 | Facility | None | $5.62 | $8.51 | $21.88 |
Univera Setting Professional Modifier None Typical Low $5.62 Median $8.51 Typical High $10.96 | Professional | None | $5.62 | $8.51 | $10.96 |
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 $3.24 Median $3.24 Typical High $3.63 | Professional | 52 · Reduced service | $3.24 | $3.24 | $3.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $1.29 Typical High $1.45 | Professional | 53 · Discontinued | $1.29 | $1.29 | $1.45 |
Where New York sits
The same service costs 4.1 times more in Kansas than in Maryland. 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
$8.51
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.