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 $8.71 Median $12.88 Typical High $41.69 | Facility | None | $8.71 | $12.88 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $10.47 | Professional | None | $8.71 | $8.71 | $10.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $30.20 | Facility | None | $11.75 | $11.75 | $30.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.75 Median $9.33 Typical High $30.90 | Professional | None | $5.75 | $9.33 | $30.90 |
CDPHP Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | None | $11.75 | $11.75 | $11.75 |
Cigna Setting Facility Modifier None Typical Low $11.48 Median $25.70 Typical High $125.89 | Facility | None | $11.48 | $25.70 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $15.85 Typical High $79.43 | Professional | None | $8.13 | $15.85 | $79.43 |
Emblem Health Setting Facility Modifier None Typical Low $7.08 Median $11.75 Typical High $26.30 | Facility | None | $7.08 | $11.75 | $26.30 |
Emblem Health Setting Professional Modifier None Typical Low $5.50 Median $8.13 Typical High $22.39 | Professional | None | $5.50 | $8.13 | $22.39 |
Excellus BCBS Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Facility | None | $11.75 | $11.75 | $11.75 |
Excellus BCBS Setting Professional Modifier None Typical Low $10.00 Median $11.75 Typical High $15.49 | Professional | None | $10.00 | $11.75 | $15.49 |
Highmark BCBS Setting Facility Modifier None Typical Low $32.36 Median $45.71 Typical High $93.33 | Facility | None | $32.36 | $45.71 | $93.33 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $20.89 Typical High $257.04 | Facility | None | $13.80 | $20.89 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $30.20 | Professional | None | $9.33 | $9.33 | $30.20 |
United Setting Facility Modifier None Typical Low $10.47 Median $11.75 Typical High $14.45 | Facility | None | $10.47 | $11.75 | $14.45 |
United Setting Professional Modifier None Typical Low $4.90 Median $7.59 Typical High $17.38 | Professional | None | $4.90 | $7.59 | $17.38 |
Univera Setting Facility Modifier None Typical Low $7.59 Median $11.75 Typical High $29.51 | Facility | None | $7.59 | $11.75 | $29.51 |
Univera Setting Professional Modifier None Typical Low $7.59 Median $11.75 Typical High $16.22 | Professional | None | $7.59 | $11.75 | $16.22 |
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 $4.37 Median $4.37 Typical High $5.01 | Professional | 52 · Reduced service | $4.37 | $4.37 | $5.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.74 Median $1.74 Typical High $2.00 | Professional | 53 · Discontinued | $1.74 | $1.74 | $2.00 |
Where New York sits
The same service costs 3.2 times more in Alaska 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· 30th of 51
$11.22
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.