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 $2.95 Median $3.89 Typical High $14.13 | Facility | None | $2.95 | $3.89 | $14.13 |
Aetna Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $3.63 | Professional | None | $2.95 | $2.95 | $3.63 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.98 Median $3.98 Typical High $10.23 | Facility | None | $3.98 | $3.98 | $10.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.95 Median $3.16 Typical High $10.47 | Professional | None | $1.95 | $3.16 | $10.47 |
CDPHP Setting Professional Modifier None Typical Low $3.98 Median $3.98 Typical High $3.98 | Professional | None | $3.98 | $3.98 | $3.98 |
Cigna Setting Facility Modifier None Typical Low $3.80 Median $8.91 Typical High $42.66 | Facility | None | $3.80 | $8.91 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $2.82 Median $5.37 Typical High $28.18 | Professional | None | $2.82 | $5.37 | $28.18 |
Emblem Health Setting Facility Modifier None Typical Low $2.00 Median $4.07 Typical High $8.91 | Facility | None | $2.00 | $4.07 | $8.91 |
Emblem Health Setting Professional Modifier None Typical Low $1.86 Median $2.34 Typical High $7.59 | Professional | None | $1.86 | $2.34 | $7.59 |
Excellus BCBS Setting Professional Modifier None Typical Low $2.57 Median $3.98 Typical High $6.46 | Professional | None | $2.57 | $3.98 | $6.46 |
Highmark BCBS Setting Facility Modifier None Typical Low $3.98 Median $4.90 Typical High $11.75 | Facility | None | $3.98 | $4.90 | $11.75 |
MVP Health Care Setting Facility Modifier None Typical Low $4.90 Median $13.80 Typical High $257.04 | Facility | None | $4.90 | $13.80 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $3.16 Median $3.16 Typical High $10.00 | Professional | None | $3.16 | $3.16 | $10.00 |
United Setting Facility Modifier None Typical Low $3.55 Median $3.98 Typical High $4.90 | Facility | None | $3.55 | $3.98 | $4.90 |
United Setting Professional Modifier None Typical Low $1.66 Median $2.34 Typical High $5.89 | Professional | None | $1.66 | $2.34 | $5.89 |
Univera Setting Facility Modifier None Typical Low $2.57 Median $4.57 Typical High $15.14 | Facility | None | $2.57 | $4.57 | $15.14 |
Univera Setting Professional Modifier None Typical Low $2.57 Median $3.98 Typical High $10.72 | Professional | None | $2.57 | $3.98 | $10.72 |
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 $1.48 Median $1.48 Typical High $1.70 | Professional | 52 · Reduced service | $1.48 | $1.48 | $1.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.59 Median $0.59 Typical High $0.68 | Professional | 53 · Discontinued | $0.59 | $0.59 | $0.68 |
Where New York sits
The same service costs 3.4 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· 31st of 51
$3.72
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.