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 $6.17 Median $7.94 Typical High $28.18 | Facility | None | $6.17 | $7.94 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $7.94 | Professional | None | $6.17 | $6.17 | $7.94 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.12 Median $9.12 Typical High $23.44 | Facility | None | $9.12 | $9.12 | $23.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.17 Median $6.92 Typical High $22.91 | Professional | None | $4.17 | $6.92 | $22.91 |
CDPHP Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | None | $9.12 | $9.12 | $9.12 |
Cigna Setting Facility Modifier None Typical Low $8.91 Median $19.50 Typical High $91.20 | Facility | None | $8.91 | $19.50 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $11.48 Typical High $60.26 | Professional | None | $6.31 | $11.48 | $60.26 |
Emblem Health Setting Facility Modifier None Typical Low $3.47 Median $9.12 Typical High $20.42 | Facility | None | $3.47 | $9.12 | $20.42 |
Emblem Health Setting Professional Modifier None Typical Low $4.27 Median $6.31 Typical High $17.78 | Professional | None | $4.27 | $6.31 | $17.78 |
Excellus BCBS Setting Facility Modifier None Typical Low $9.12 Median $9.12 Typical High $9.12 | Facility | None | $9.12 | $9.12 | $9.12 |
Excellus BCBS Setting Professional Modifier None Typical Low $7.41 Median $9.12 Typical High $11.75 | Professional | None | $7.41 | $9.12 | $11.75 |
MVP Health Care Setting Facility Modifier None Typical Low $10.47 Median $16.98 Typical High $257.04 | Facility | None | $10.47 | $16.98 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $18.62 | Professional | None | $6.76 | $6.76 | $18.62 |
United Setting Facility Modifier None Typical Low $8.13 Median $9.12 Typical High $11.48 | Facility | None | $8.13 | $9.12 | $11.48 |
United Setting Professional Modifier None Typical Low $3.80 Median $5.62 Typical High $16.22 | Professional | None | $3.80 | $5.62 | $16.22 |
Univera Setting Facility Modifier None Typical Low $6.03 Median $9.12 Typical High $21.38 | Facility | None | $6.03 | $9.12 | $21.38 |
Univera Setting Professional Modifier None Typical Low $6.03 Median $9.12 Typical High $30.90 | Professional | None | $6.03 | $9.12 | $30.90 |
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 $3.09 Median $3.09 Typical High $3.89 | Professional | 52 · Reduced service | $3.09 | $3.09 | $3.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.26 Median $1.26 Typical High $1.55 | Professional | 53 · Discontinued | $1.26 | $1.26 | $1.55 |
Where New York sits
The same service costs 4.1 times more in Kansas than in Nebraska. 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· 33rd of 51
$8.71
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.