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 $11.75 Median $15.14 Typical High $56.23 | Facility | None | $11.75 | $15.14 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $18.62 | Professional | None | $11.75 | $11.75 | $18.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $40.74 | Facility | None | $15.85 | $15.85 | $40.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.76 Median $12.02 Typical High $41.69 | Professional | None | $7.76 | $12.02 | $41.69 |
CDPHP Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | None | $15.85 | $15.85 | $15.85 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $34.67 Typical High $169.82 | Facility | None | $15.49 | $34.67 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $21.38 Typical High $104.71 | Professional | None | $11.22 | $21.38 | $104.71 |
Emblem Health Setting Facility Modifier None Typical Low $7.59 Median $15.85 Typical High $35.48 | Facility | None | $7.59 | $15.85 | $35.48 |
Emblem Health Setting Professional Modifier None Typical Low $7.41 Median $10.96 Typical High $30.90 | Professional | None | $7.41 | $10.96 | $30.90 |
Excellus BCBS Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Facility | None | $15.85 | $15.85 | $15.85 |
Excellus BCBS Setting Professional Modifier None Typical Low $10.23 Median $15.85 Typical High $17.78 | Professional | None | $10.23 | $15.85 | $17.78 |
Highmark BCBS Setting Facility Modifier None Typical Low $25.12 Median $58.88 Typical High $79.43 | Facility | None | $25.12 | $58.88 | $79.43 |
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 $12.59 Median $12.59 Typical High $52.48 | Professional | None | $12.59 | $12.59 | $52.48 |
United Setting Facility Modifier None Typical Low $14.13 Median $15.85 Typical High $19.95 | Facility | None | $14.13 | $15.85 | $19.95 |
United Setting Professional Modifier None Typical Low $6.61 Median $9.55 Typical High $23.99 | Professional | None | $6.61 | $9.55 | $23.99 |
Univera Setting Facility Modifier None Typical Low $10.47 Median $15.85 Typical High $24.55 | Facility | None | $10.47 | $15.85 | $24.55 |
Univera Setting Professional Modifier None Typical Low $10.23 Median $15.85 Typical High $20.42 | Professional | None | $10.23 | $15.85 | $20.42 |
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 $5.89 Median $5.89 Typical High $6.76 | Professional | 52 · Reduced service | $5.89 | $5.89 | $6.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.34 Median $2.34 Typical High $2.69 | Professional | 53 · Discontinued | $2.34 | $2.34 | $2.69 |
Where New York sits
The same service costs 3.0 times more in Alaska 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· 27th of 51
$15.14
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.