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 $19.50 Typical High $56.23 | Facility | None | $16.60 | $19.50 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $19.05 Typical High $38.02 | Professional | None | $16.60 | $19.05 | $38.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.85 Median $22.39 Typical High $57.54 | Facility | None | $15.85 | $22.39 | $57.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.96 Median $22.39 Typical High $66.07 | Professional | None | $10.96 | $22.39 | $66.07 |
CDPHP Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $25.70 | Professional | None | $22.39 | $22.39 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $53.70 Typical High $239.88 | Facility | None | $21.88 | $53.70 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $22.91 Median $32.36 Typical High $147.91 | Professional | None | $22.91 | $32.36 | $147.91 |
Emblem Health Setting Facility Modifier None Typical Low $20.89 Median $28.84 Typical High $50.12 | Facility | None | $20.89 | $28.84 | $50.12 |
Emblem Health Setting Professional Modifier None Typical Low $10.47 Median $15.49 Typical High $43.65 | Professional | None | $10.47 | $15.49 | $43.65 |
Excellus BCBS Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
Excellus BCBS Setting Professional Modifier None Typical Low $19.05 Median $22.39 Typical High $29.51 | Professional | None | $19.05 | $22.39 | $29.51 |
Highmark BCBS Setting Facility Modifier None Typical Low $17.78 Median $36.31 Typical High $102.33 | Facility | None | $17.78 | $36.31 | $102.33 |
Highmark BCBS Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | None | $14.79 | $14.79 | $14.79 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $39.81 Typical High $257.04 | Facility | None | $13.80 | $39.81 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $45.71 | Professional | None | $16.22 | $16.22 | $45.71 |
United Setting Facility Modifier None Typical Low $19.95 Median $22.39 Typical High $28.18 | Facility | None | $19.95 | $22.39 | $28.18 |
United Setting Professional Modifier None Typical Low $9.33 Median $13.49 Typical High $36.31 | Professional | None | $9.33 | $13.49 | $36.31 |
Univera Setting Facility Modifier None Typical Low $14.79 Median $22.39 Typical High $56.23 | Facility | None | $14.79 | $22.39 | $56.23 |
Univera Setting Professional Modifier None Typical Low $14.79 Median $22.39 Typical High $33.88 | Professional | None | $14.79 | $22.39 | $33.88 |
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 $9.55 | Professional | 52 · Reduced service | $8.32 | $8.32 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $3.31 Typical High $3.80 | Professional | 53 · Discontinued | $3.31 | $3.31 | $3.80 |
Where New York sits
The same service costs 4.8 times more in Minnesota 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· 35th of 51
$22.39
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.