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 $16.60 Median $25.70 Typical High $75.86 | Facility | None | $16.60 | $25.70 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $25.70 | Professional | None | $16.60 | $16.60 | $25.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.85 Median $30.20 Typical High $77.62 | Facility | None | $15.85 | $30.20 | $77.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.02 Median $28.18 Typical High $70.79 | Professional | None | $12.02 | $28.18 | $70.79 |
CDPHP Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $30.20 | Professional | None | $25.70 | $25.70 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $29.51 Median $64.57 Typical High $245.47 | Facility | None | $29.51 | $64.57 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $42.66 Typical High $151.36 | Professional | None | $26.92 | $42.66 | $151.36 |
Emblem Health Setting Facility Modifier None Typical Low $13.49 Median $30.20 Typical High $67.61 | Facility | None | $13.49 | $30.20 | $67.61 |
Emblem Health Setting Professional Modifier None Typical Low $14.13 Median $20.89 Typical High $57.54 | Professional | None | $14.13 | $20.89 | $57.54 |
Excellus BCBS Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Facility | None | $27.54 | $27.54 | $27.54 |
Excellus BCBS Setting Professional Modifier None Typical Low $19.95 Median $28.18 Typical High $33.88 | Professional | None | $19.95 | $28.18 | $33.88 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $53.70 Typical High $257.04 | Facility | None | $13.80 | $53.70 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $61.66 | Professional | None | $16.22 | $16.22 | $61.66 |
United Setting Facility Modifier None Typical Low $26.92 Median $30.20 Typical High $60.26 | Facility | None | $26.92 | $30.20 | $60.26 |
United Setting Professional Modifier None Typical Low $12.59 Median $14.45 Typical High $44.67 | Professional | None | $12.59 | $14.45 | $44.67 |
Univera Setting Facility Modifier None Typical Low $19.50 Median $27.54 Typical High $57.54 | Facility | None | $19.50 | $27.54 | $57.54 |
Univera Setting Professional Modifier None Typical Low $19.50 Median $28.18 Typical High $35.48 | Professional | None | $19.50 | $28.18 | $35.48 |
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 $8.32 Median $8.32 Typical High $12.59 | Professional | 52 · Reduced service | $8.32 | $8.32 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $3.31 Typical High $5.13 | Professional | 53 · Discontinued | $3.31 | $3.31 | $5.13 |
Where New York sits
The same service costs 4.5 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· 27th of 51
$27.54
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.