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 $11.22 Typical High $32.36 | Facility | None | $10.00 | $11.22 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $10.96 Typical High $16.98 | Professional | None | $9.55 | $10.96 | $16.98 |
Ambetter Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $5.89 | Professional | None | $5.89 | $5.89 | $5.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $33.88 | Facility | None | $12.88 | $12.88 | $33.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.46 Median $10.23 Typical High $34.67 | Professional | None | $6.46 | $10.23 | $34.67 |
CDPHP Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | None | $12.88 | $12.88 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $30.90 Typical High $141.25 | Facility | None | $12.59 | $30.90 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $17.38 Typical High $87.10 | Professional | None | $8.91 | $17.38 | $87.10 |
Emblem Health Setting Facility Modifier None Typical Low $10.96 Median $16.60 Typical High $28.84 | Facility | None | $10.96 | $16.60 | $28.84 |
Emblem Health Setting Professional Modifier None Typical Low $6.03 Median $9.12 Typical High $25.12 | Professional | None | $6.03 | $9.12 | $25.12 |
Excellus BCBS Setting Facility Modifier None Typical Low $10.23 Median $10.23 Typical High $10.23 | Facility | None | $10.23 | $10.23 | $10.23 |
Excellus BCBS Setting Professional Modifier None Typical Low $10.23 Median $12.88 Typical High $16.22 | Professional | None | $10.23 | $12.88 | $16.22 |
Highmark BCBS Setting Facility Modifier None Typical Low $9.55 Median $21.38 Typical High $58.88 | Facility | None | $9.55 | $21.38 | $58.88 |
Highmark BCBS Setting Professional Modifier None Typical Low $7.76 Median $8.71 Typical High $8.71 | Professional | None | $7.76 | $8.71 | $8.71 |
MVP Health Care Setting Facility Modifier None Typical Low $13.49 Median $22.39 Typical High $257.04 | Facility | None | $13.49 | $22.39 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $26.92 | Professional | None | $5.01 | $5.01 | $26.92 |
United Setting Facility Modifier None Typical Low $11.75 Median $12.88 Typical High $16.22 | Facility | None | $11.75 | $12.88 | $16.22 |
United Setting Professional Modifier None Typical Low $5.50 Median $8.51 Typical High $19.50 | Professional | None | $5.50 | $8.51 | $19.50 |
Univera Setting Facility Modifier None Typical Low $8.51 Median $10.23 Typical High $33.11 | Facility | None | $8.51 | $10.23 | $33.11 |
Univera Setting Professional Modifier None Typical Low $8.51 Median $12.88 Typical High $16.22 | Professional | None | $8.51 | $12.88 | $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 $4.79 Median $4.79 Typical High $5.50 | Professional | 52 · Reduced service | $4.79 | $4.79 | $5.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.91 Median $1.91 Typical High $2.19 | Professional | 53 · Discontinued | $1.91 | $1.91 | $2.19 |
Where New York sits
The same service costs 8.3 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· 39th 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.