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 $3.02 Median $4.68 Typical High $13.80 | Facility | None | $3.02 | $4.68 | $13.80 |
Aetna Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $5.25 | Professional | None | $3.02 | $3.02 | $5.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.50 Median $5.50 Typical High $14.45 | Facility | None | $5.50 | $5.50 | $14.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.69 Median $4.27 Typical High $12.59 | Professional | None | $2.69 | $4.27 | $12.59 |
CDPHP Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | None | $5.50 | $5.50 | $5.50 |
Cigna Setting Facility Modifier None Typical Low $5.37 Median $12.02 Typical High $44.67 | Facility | None | $5.37 | $12.02 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $3.80 Median $7.41 Typical High $38.02 | Professional | None | $3.80 | $7.41 | $38.02 |
Emblem Health Setting Facility Modifier None Typical Low $3.02 Median $5.50 Typical High $12.30 | Facility | None | $3.02 | $5.50 | $12.30 |
Emblem Health Setting Professional Modifier None Typical Low $2.57 Median $3.31 Typical High $10.72 | Professional | None | $2.57 | $3.31 | $10.72 |
Excellus BCBS Setting Professional Modifier None Typical Low $3.63 Median $5.50 Typical High $6.17 | Professional | None | $3.63 | $5.50 | $6.17 |
Highmark BCBS Setting Facility Modifier None Typical Low $4.79 Median $15.85 Typical High $50.12 | Facility | None | $4.79 | $15.85 | $50.12 |
Highmark BCBS Setting Professional Modifier None Typical Low $3.63 Median $3.89 Typical High $4.17 | Professional | None | $3.63 | $3.89 | $4.17 |
MVP Health Care Setting Facility Modifier None Typical Low $6.92 Median $13.80 Typical High $257.04 | Facility | None | $6.92 | $13.80 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $3.98 Median $3.98 Typical High $11.22 | Professional | None | $3.98 | $3.98 | $11.22 |
United Setting Facility Modifier None Typical Low $5.01 Median $5.50 Typical High $12.02 | Facility | None | $5.01 | $5.50 | $12.02 |
United Setting Professional Modifier None Typical Low $2.29 Median $3.24 Typical High $8.32 | Professional | None | $2.29 | $3.24 | $8.32 |
Univera Setting Facility Modifier None Typical Low $3.63 Median $6.31 Typical High $20.89 | Facility | None | $3.63 | $6.31 | $20.89 |
Univera Setting Professional Modifier None Typical Low $3.63 Median $5.50 Typical High $6.61 | Professional | None | $3.63 | $5.50 | $6.61 |
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 $1.51 Median $1.51 Typical High $2.34 | Professional | 52 · Reduced service | $1.51 | $1.51 | $2.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.62 Median $0.62 Typical High $0.93 | Professional | 53 · Discontinued | $0.62 | $0.62 | $0.93 |
Where New York sits
The same service costs 12.3 times more in Vermont 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· 40th of 51
$4.68
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.