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 $4.79 Median $7.24 Typical High $26.30 | Facility | None | $4.79 | $7.24 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $7.24 | Professional | None | $4.79 | $4.79 | $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 $6.61 Typical High $19.95 | Professional | None | $4.27 | $6.61 | $19.95 |
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 $21.38 Typical High $70.79 | Facility | None | $8.32 | $21.38 | $70.79 |
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 $7.94 Median $11.22 Typical High $19.50 | Facility | None | $7.94 | $11.22 | $19.50 |
Emblem Health Setting Professional Modifier None Typical Low $4.07 Median $5.13 Typical High $16.60 | Professional | None | $4.07 | $5.13 | $16.60 |
Excellus BCBS Setting Professional Modifier None Typical Low $5.62 Median $8.51 Typical High $12.02 | Professional | None | $5.62 | $8.51 | $12.02 |
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 $30.20 | Professional | None | $6.92 | $6.92 | $30.20 |
United Setting Facility Modifier None Typical Low $7.76 Median $8.51 Typical High $30.20 | Facility | None | $7.76 | $8.51 | $30.20 |
United Setting Professional Modifier None Typical Low $3.63 Median $5.13 Typical High $12.88 | Professional | None | $3.63 | $5.13 | $12.88 |
Univera Setting Facility Modifier None Typical Low $5.62 Median $10.00 Typical High $33.11 | Facility | None | $5.62 | $10.00 | $33.11 |
Univera Setting Professional Modifier None Typical Low $5.62 Median $8.51 Typical High $12.02 | Professional | None | $5.62 | $8.51 | $12.02 |
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 $2.45 Median $2.45 Typical High $3.63 | Professional | 52 · Reduced service | $2.45 | $2.45 | $3.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.98 Median $0.98 Typical High $1.45 | Professional | 53 · Discontinued | $0.98 | $0.98 | $1.45 |
Where New York sits
The same service costs 4.7 times more in Kansas than in Nebraska. 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· 32nd of 51
$7.59
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.