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 $11.48 Median $13.18 Typical High $38.90 | Facility | None | $11.48 | $13.18 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $14.13 | Professional | None | $11.48 | $11.48 | $14.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $39.81 | Facility | None | $15.49 | $15.49 | $39.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.59 Median $12.30 Typical High $40.74 | Professional | None | $7.59 | $12.30 | $40.74 |
CDPHP Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | None | $15.49 | $15.49 | $15.49 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $33.88 Typical High $165.96 | Facility | None | $15.14 | $33.88 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $20.89 Typical High $102.33 | Professional | None | $10.96 | $20.89 | $102.33 |
Emblem Health Setting Facility Modifier None Typical Low $9.12 Median $17.78 Typical High $34.67 | Facility | None | $9.12 | $17.78 | $34.67 |
Emblem Health Setting Professional Modifier None Typical Low $7.24 Median $10.96 Typical High $30.20 | Professional | None | $7.24 | $10.96 | $30.20 |
Excellus BCBS Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
Excellus BCBS Setting Professional Modifier None Typical Low $13.18 Median $15.49 Typical High $20.42 | Professional | None | $13.18 | $15.49 | $20.42 |
Highmark BCBS Setting Facility Modifier None Typical Low $11.22 Median $30.90 Typical High $83.18 | Facility | None | $11.22 | $30.90 | $83.18 |
Highmark BCBS Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | None | $11.75 | $11.75 | $11.75 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $28.18 Typical High $257.04 | Facility | None | $13.80 | $28.18 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $33.88 | Professional | None | $12.30 | $12.30 | $33.88 |
United Setting Facility Modifier None Typical Low $13.80 Median $15.49 Typical High $19.50 | Facility | None | $13.80 | $15.49 | $19.50 |
United Setting Professional Modifier None Typical Low $6.46 Median $10.00 Typical High $23.44 | Professional | None | $6.46 | $10.00 | $23.44 |
Univera Setting Facility Modifier None Typical Low $10.23 Median $15.49 Typical High $38.90 | Facility | None | $10.23 | $15.49 | $38.90 |
Univera Setting Professional Modifier None Typical Low $10.23 Median $15.49 Typical High $54.95 | Professional | None | $10.23 | $15.49 | $54.95 |
3 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 $5.75 Median $5.75 Typical High $6.61 | Professional | 52 · Reduced service | $5.75 | $5.75 | $6.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.29 Typical High $2.63 | Professional | 53 · Discontinued | $2.29 | $2.29 | $2.63 |
Fidelis Setting Professional Modifier 59 · Distinct service Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | 59 · Distinct service | $3.89 | $3.89 | $3.89 |
Where New York sits
The same service costs 4.2 times more in Kansas than in Maryland. 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· 30th of 51
$15.49
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.