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 $15.49 Median $17.78 Typical High $52.48 | Facility | None | $15.49 | $17.78 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $16.98 Typical High $28.18 | Professional | None | $15.49 | $16.98 | $28.18 |
Ambetter Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | None | $9.33 | $9.33 | $9.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $53.70 | Facility | None | $20.89 | $20.89 | $53.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.23 Median $16.60 Typical High $56.23 | Professional | None | $10.23 | $16.60 | $56.23 |
CDPHP Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $50.12 Typical High $223.87 | Facility | None | $20.42 | $50.12 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $14.45 Median $30.20 Typical High $100.00 | Professional | None | $14.45 | $30.20 | $100.00 |
Emblem Health Setting Facility Modifier None Typical Low $19.05 Median $26.92 Typical High $46.77 | Facility | None | $19.05 | $26.92 | $46.77 |
Emblem Health Setting Professional Modifier None Typical Low $9.77 Median $14.45 Typical High $40.74 | Professional | None | $9.77 | $14.45 | $40.74 |
Excellus BCBS Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
Excellus BCBS Setting Professional Modifier None Typical Low $17.78 Median $20.89 Typical High $26.30 | Professional | None | $17.78 | $20.89 | $26.30 |
Highmark BCBS Setting Facility Modifier None Typical Low $16.60 Median $36.31 Typical High $97.72 | Facility | None | $16.60 | $36.31 | $97.72 |
Highmark BCBS Setting Professional Modifier None Typical Low $12.59 Median $13.80 Typical High $13.80 | Professional | None | $12.59 | $13.80 | $13.80 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $37.15 Typical High $257.04 | Facility | None | $13.80 | $37.15 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $42.66 | Professional | None | $16.60 | $16.60 | $42.66 |
United Setting Facility Modifier None Typical Low $18.62 Median $20.89 Typical High $26.30 | Facility | None | $18.62 | $20.89 | $26.30 |
United Setting Professional Modifier None Typical Low $8.71 Median $13.49 Typical High $30.90 | Professional | None | $8.71 | $13.49 | $30.90 |
Univera Setting Facility Modifier None Typical Low $13.80 Median $20.89 Typical High $52.48 | Facility | None | $13.80 | $20.89 | $52.48 |
Univera Setting Professional Modifier None Typical Low $13.80 Median $20.89 Typical High $26.92 | Professional | None | $13.80 | $20.89 | $26.92 |
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 $7.76 Median $7.76 Typical High $8.91 | Professional | 52 · Reduced service | $7.76 | $7.76 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.09 Typical High $3.55 | Professional | 53 · Discontinued | $3.09 | $3.09 | $3.55 |
Where New York sits
The same service costs 5.6 times more in Vermont 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· 29th of 51
$20.89
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.