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 $10.47 Median $12.30 Typical High $42.66 | Facility | None | $10.47 | $12.30 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $12.59 | Professional | None | $10.47 | $10.47 | $12.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $36.31 | Facility | None | $14.13 | $14.13 | $36.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.92 Median $10.96 Typical High $38.02 | Professional | None | $6.92 | $10.96 | $38.02 |
CDPHP Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $33.11 Typical High $151.36 | Facility | None | $13.80 | $33.11 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $19.05 Typical High $93.33 | Professional | None | $9.77 | $19.05 | $93.33 |
Emblem Health Setting Facility Modifier None Typical Low $11.48 Median $17.38 Typical High $31.62 | Facility | None | $11.48 | $17.38 | $31.62 |
Emblem Health Setting Professional Modifier None Typical Low $6.61 Median $9.77 Typical High $27.54 | Professional | None | $6.61 | $9.77 | $27.54 |
Excellus BCBS Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $12.59 | Facility | None | $12.59 | $12.59 | $12.59 |
Excellus BCBS Setting Professional Modifier None Typical Low $12.02 Median $14.13 Typical High $18.20 | Professional | None | $12.02 | $14.13 | $18.20 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $25.12 Typical High $257.04 | Facility | None | $13.80 | $25.12 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $28.84 | Professional | None | $11.22 | $11.22 | $28.84 |
United Setting Facility Modifier None Typical Low $12.59 Median $14.13 Typical High $30.20 | Facility | None | $12.59 | $14.13 | $30.20 |
United Setting Professional Modifier None Typical Low $5.89 Median $9.12 Typical High $20.89 | Professional | None | $5.89 | $9.12 | $20.89 |
Univera Setting Facility Modifier None Typical Low $9.12 Median $12.59 Typical High $35.48 | Facility | None | $9.12 | $12.59 | $35.48 |
Univera Setting Professional Modifier None Typical Low $9.12 Median $14.13 Typical High $22.91 | Professional | None | $9.12 | $14.13 | $22.91 |
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 $5.25 Median $5.25 Typical High $6.03 | Professional | 52 · Reduced service | $5.25 | $5.25 | $6.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.09 Median $2.09 Typical High $2.40 | Professional | 53 · Discontinued | $2.09 | $2.09 | $2.40 |
Where New York sits
The same service costs 3.2 times more in Alaska than in Kentucky. 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· 34th of 51
$12.59
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.