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 $3.72 Median $4.47 Typical High $13.18 | Facility | None | $3.72 | $4.47 | $13.18 |
Aetna Setting Professional Modifier None Typical Low $3.72 Median $4.07 Typical High $6.31 | Professional | None | $3.72 | $4.07 | $6.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.25 Median $5.25 Typical High $13.49 | Facility | None | $5.25 | $5.25 | $13.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.57 Median $4.17 Typical High $13.80 | Professional | None | $2.57 | $4.17 | $13.80 |
CDPHP Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $5.25 | Professional | None | $5.25 | $5.25 | $5.25 |
Cigna Setting Facility Modifier None Typical Low $5.13 Median $12.30 Typical High $53.70 | Facility | None | $5.13 | $12.30 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $3.55 Median $7.08 Typical High $36.31 | Professional | None | $3.55 | $7.08 | $36.31 |
Emblem Health Setting Facility Modifier None Typical Low $5.01 Median $6.76 Typical High $11.75 | Facility | None | $5.01 | $6.76 | $11.75 |
Emblem Health Setting Professional Modifier None Typical Low $2.45 Median $3.63 Typical High $10.23 | Professional | None | $2.45 | $3.63 | $10.23 |
Excellus BCBS Setting Facility Modifier None Typical Low $3.72 Median $3.72 Typical High $3.72 | Facility | None | $3.72 | $3.72 | $3.72 |
Excellus BCBS Setting Professional Modifier None Typical Low $3.72 Median $5.01 Typical High $5.89 | Professional | None | $3.72 | $5.01 | $5.89 |
Highmark BCBS Setting Facility Modifier None Typical Low $3.89 Median $11.22 Typical High $33.88 | Facility | None | $3.89 | $11.22 | $33.88 |
Highmark BCBS Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | None | $3.47 | $3.47 | $3.47 |
MVP Health Care Setting Facility Modifier None Typical Low $5.25 Median $10.47 Typical High $257.04 | Facility | None | $5.25 | $10.47 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $4.17 Median $4.17 Typical High $10.72 | Professional | None | $4.17 | $4.17 | $10.72 |
United Setting Facility Modifier None Typical Low $4.68 Median $5.25 Typical High $6.46 | Facility | None | $4.68 | $5.25 | $6.46 |
United Setting Professional Modifier None Typical Low $2.19 Median $3.39 Typical High $7.76 | Professional | None | $2.19 | $3.39 | $7.76 |
Univera Setting Facility Modifier None Typical Low $3.47 Median $3.72 Typical High $13.18 | Facility | None | $3.47 | $3.72 | $13.18 |
Univera Setting Professional Modifier None Typical Low $3.47 Median $5.01 Typical High $6.17 | Professional | None | $3.47 | $5.01 | $6.17 |
3 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 $1.86 Median $1.86 Typical High $2.24 | Professional | 52 · Reduced service | $1.86 | $1.86 | $2.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.74 Median $0.74 Typical High $0.89 | Professional | 53 · Discontinued | $0.74 | $0.74 | $0.89 |
Fidelis Setting Professional Modifier 59 · Distinct service Typical Low $1.86 Median $1.86 Typical High $1.86 | Professional | 59 · Distinct service | $1.86 | $1.86 | $1.86 |
Where New York sits
The same service costs 4.5 times more in Alaska 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· 41st of 51
$4.47
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.