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 $4.37 Median $9.77 Typical High $32.36 | Facility | None | $4.37 | $9.77 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $4.37 Median $6.03 Typical High $13.49 | Professional | None | $4.37 | $6.03 | $13.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $29.51 | Facility | None | $11.48 | $11.48 | $29.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.62 Median $7.76 Typical High $23.44 | Professional | None | $5.62 | $7.76 | $23.44 |
CDPHP Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | None | $11.48 | $11.48 | $11.48 |
Cigna Setting Facility Modifier None Typical Low $11.22 Median $25.12 Typical High $63.10 | Facility | None | $11.22 | $25.12 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $15.49 Typical High $77.62 | Professional | None | $8.13 | $15.49 | $77.62 |
Emblem Health Setting Facility Modifier None Typical Low $6.03 Median $11.48 Typical High $25.70 | Facility | None | $6.03 | $11.48 | $25.70 |
Emblem Health Setting Professional Modifier None Typical Low $5.37 Median $7.94 Typical High $22.39 | Professional | None | $5.37 | $7.94 | $22.39 |
Excellus BCBS Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Facility | None | $8.13 | $8.13 | $8.13 |
Excellus BCBS Setting Professional Modifier None Typical Low $8.13 Median $10.96 Typical High $12.59 | Professional | None | $8.13 | $10.96 | $12.59 |
Highmark BCBS Setting Facility Modifier None Typical Low $7.59 Median $19.95 Typical High $38.90 | Facility | None | $7.59 | $19.95 | $38.90 |
MVP Health Care Setting Facility Modifier None Typical Low $11.48 Median $19.95 Typical High $257.04 | Facility | None | $11.48 | $19.95 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $23.44 | Professional | None | $5.50 | $5.50 | $23.44 |
United Setting Facility Modifier None Typical Low $10.23 Median $11.48 Typical High $14.45 | Facility | None | $10.23 | $11.48 | $14.45 |
United Setting Professional Modifier None Typical Low $4.79 Median $6.31 Typical High $17.38 | Professional | None | $4.79 | $6.31 | $17.38 |
Univera Setting Facility Modifier None Typical Low $7.59 Median $8.13 Typical High $24.55 | Facility | None | $7.59 | $8.13 | $24.55 |
Univera Setting Professional Modifier None Typical Low $7.59 Median $10.96 Typical High $12.88 | Professional | None | $7.59 | $10.96 | $12.88 |
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 $2.14 Median $2.14 Typical High $4.90 | Professional | 52 · Reduced service | $2.14 | $2.14 | $4.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.85 Median $0.85 Typical High $1.95 | Professional | 53 · Discontinued | $0.85 | $0.85 | $1.95 |
Where New York sits
The same service costs 3.2 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· 48th of 51
$8.91
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.