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 $5.01 Median $6.31 Typical High $22.91 | Facility | None | $5.01 | $6.31 | $22.91 |
Aetna Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $6.31 | Professional | None | $5.01 | $5.01 | $6.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.41 Median $7.41 Typical High $19.50 | Facility | None | $7.41 | $7.41 | $19.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.31 Median $5.75 Typical High $18.20 | Professional | None | $3.31 | $5.75 | $18.20 |
CDPHP Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | None | $7.41 | $7.41 | $7.41 |
Cigna Setting Facility Modifier None Typical Low $7.24 Median $15.85 Typical High $72.44 | Facility | None | $7.24 | $15.85 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $5.01 Median $9.12 Typical High $52.48 | Professional | None | $5.01 | $9.12 | $52.48 |
Emblem Health Setting Facility Modifier None Typical Low $5.50 Median $8.71 Typical High $16.98 | Facility | None | $5.50 | $8.71 | $16.98 |
Emblem Health Setting Professional Modifier None Typical Low $3.55 Median $5.25 Typical High $14.45 | Professional | None | $3.55 | $5.25 | $14.45 |
Excellus BCBS Setting Facility Modifier None Typical Low $7.41 Median $7.41 Typical High $7.41 | Facility | None | $7.41 | $7.41 | $7.41 |
Excellus BCBS Setting Professional Modifier None Typical Low $5.89 Median $7.41 Typical High $9.55 | Professional | None | $5.89 | $7.41 | $9.55 |
Highmark BCBS Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
MVP Health Care Setting Facility Modifier None Typical Low $8.32 Median $14.13 Typical High $257.04 | Facility | None | $8.32 | $14.13 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $19.95 | Professional | None | $5.37 | $5.37 | $19.95 |
United Setting Facility Modifier None Typical Low $6.76 Median $7.41 Typical High $15.14 | Facility | None | $6.76 | $7.41 | $15.14 |
United Setting Professional Modifier None Typical Low $3.16 Median $4.68 Typical High $11.22 | Professional | None | $3.16 | $4.68 | $11.22 |
Univera Setting Facility Modifier None Typical Low $4.90 Median $7.41 Typical High $16.98 | Facility | None | $4.90 | $7.41 | $16.98 |
Univera Setting Professional Modifier None Typical Low $4.90 Median $7.41 Typical High $9.77 | Professional | None | $4.90 | $7.41 | $9.77 |
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 $3.16 | Professional | 52 · Reduced service | $2.45 | $2.45 | $3.16 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.00 Median $1.00 Typical High $1.26 | Professional | 53 · Discontinued | $1.00 | $1.00 | $1.26 |
Where New York sits
The same service costs 3.5 times more in Kansas than in New Jersey. 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
$7.08
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.