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 $10.00 Median $15.14 Typical High $54.95 | Facility | None | $10.00 | $15.14 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $16.60 | Professional | None | $10.00 | $10.00 | $16.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $46.77 | Facility | None | $17.78 | $17.78 | $46.77 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.91 Median $16.98 Typical High $41.69 | Professional | None | $8.91 | $16.98 | $41.69 |
CDPHP Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $39.81 Typical High $144.54 | Facility | None | $17.38 | $39.81 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $24.55 Typical High $120.23 | Professional | None | $12.59 | $24.55 | $120.23 |
Emblem Health Setting Facility Modifier None Typical Low $10.00 Median $17.78 Typical High $40.74 | Facility | None | $10.00 | $17.78 | $40.74 |
Emblem Health Setting Professional Modifier None Typical Low $8.51 Median $10.72 Typical High $34.67 | Professional | None | $8.51 | $10.72 | $34.67 |
Excellus BCBS Setting Professional Modifier None Typical Low $11.75 Median $16.98 Typical High $19.95 | Professional | None | $11.75 | $16.98 | $19.95 |
Highmark BCBS Setting Facility Modifier None Typical Low $23.44 Median $36.31 Typical High $48.98 | Facility | None | $23.44 | $36.31 | $48.98 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $32.36 Typical High $257.04 | Facility | None | $13.80 | $32.36 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $58.88 | Professional | None | $14.45 | $14.45 | $58.88 |
United Setting Facility Modifier None Typical Low $16.22 Median $17.78 Typical High $22.39 | Facility | None | $16.22 | $17.78 | $22.39 |
United Setting Professional Modifier None Typical Low $7.59 Median $10.47 Typical High $26.92 | Professional | None | $7.59 | $10.47 | $26.92 |
Univera Setting Facility Modifier None Typical Low $11.75 Median $20.89 Typical High $61.66 | Facility | None | $11.75 | $20.89 | $61.66 |
Univera Setting Professional Modifier None Typical Low $10.96 Median $16.98 Typical High $20.42 | Professional | None | $10.96 | $16.98 | $20.42 |
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 $5.01 Median $5.01 Typical High $7.59 | Professional | 52 · Reduced service | $5.01 | $5.01 | $7.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.00 Typical High $3.09 | Professional | 53 · Discontinued | $2.00 | $2.00 | $3.09 |
Where New York sits
The same service costs 6.2 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
$15.85
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.