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 $4.37 Median $6.92 Typical High $28.84 | Facility | None | $4.37 | $6.92 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $4.37 Median $4.37 Typical High $6.92 | Professional | None | $4.37 | $4.37 | $6.92 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $20.89 | Facility | None | $8.13 | $8.13 | $20.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.31 Median $5.62 Typical High $18.20 | Professional | None | $3.31 | $5.62 | $18.20 |
CDPHP Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | None | $8.13 | $8.13 | $8.13 |
Cigna Setting Facility Modifier None Typical Low $7.94 Median $20.89 Typical High $63.10 | Facility | None | $7.94 | $20.89 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $5.01 Median $9.55 Typical High $38.90 | Professional | None | $5.01 | $9.55 | $38.90 |
Emblem Health Setting Facility Modifier None Typical Low $3.47 Median $8.13 Typical High $18.20 | Facility | None | $3.47 | $8.13 | $18.20 |
Emblem Health Setting Professional Modifier None Typical Low $3.80 Median $4.79 Typical High $15.49 | Professional | None | $3.80 | $4.79 | $15.49 |
Excellus BCBS Setting Professional Modifier None Typical Low $5.25 Median $8.13 Typical High $10.23 | Professional | None | $5.25 | $8.13 | $10.23 |
Highmark BCBS Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
MVP Health Care Setting Facility Modifier None Typical Low $8.32 Median $15.14 Typical High $257.04 | Facility | None | $8.32 | $15.14 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $16.60 | Professional | None | $5.37 | $5.37 | $16.60 |
United Setting Facility Modifier None Typical Low $7.24 Median $8.13 Typical High $10.00 | Facility | None | $7.24 | $8.13 | $10.00 |
United Setting Professional Modifier None Typical Low $3.39 Median $4.79 Typical High $12.02 | Professional | None | $3.39 | $4.79 | $12.02 |
Univera Setting Facility Modifier None Typical Low $5.25 Median $9.33 Typical High $26.92 | Facility | None | $5.25 | $9.33 | $26.92 |
Univera Setting Professional Modifier None Typical Low $5.25 Median $8.13 Typical High $10.23 | Professional | None | $5.25 | $8.13 | $10.23 |
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 $2.14 Median $2.14 Typical High $3.47 | Professional | 52 · Reduced service | $2.14 | $2.14 | $3.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.85 Median $0.85 Typical High $1.38 | Professional | 53 · Discontinued | $0.85 | $0.85 | $1.38 |
Where New York sits
The same service costs 4.3 times more in Kansas than in Nebraska. 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· 32nd of 51
$6.92
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.