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 $14.45 Median $18.20 Typical High $47.86 | Facility | None | $14.45 | $18.20 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $25.70 | Professional | None | $14.45 | $14.45 | $25.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $50.12 | Facility | None | $19.50 | $19.50 | $50.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.55 Median $15.49 Typical High $52.48 | Professional | None | $9.55 | $15.49 | $52.48 |
CDPHP Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $19.05 Median $41.69 Typical High $208.93 | Facility | None | $19.05 | $41.69 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $26.30 Typical High $128.82 | Professional | None | $13.49 | $26.30 | $128.82 |
Emblem Health Setting Facility Modifier None Typical Low $8.13 Median $19.50 Typical High $43.65 | Facility | None | $8.13 | $19.50 | $43.65 |
Emblem Health Setting Professional Modifier None Typical Low $9.12 Median $13.49 Typical High $37.15 | Professional | None | $9.12 | $13.49 | $37.15 |
Excellus BCBS Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
Excellus BCBS Setting Professional Modifier None Typical Low $16.60 Median $19.50 Typical High $23.44 | Professional | None | $16.60 | $19.50 | $23.44 |
Highmark BCBS Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $72.44 | Facility | None | $35.48 | $35.48 | $72.44 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $34.67 Typical High $257.04 | Facility | None | $13.80 | $34.67 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $39.81 | Professional | None | $15.49 | $15.49 | $39.81 |
United Setting Facility Modifier None Typical Low $17.38 Median $19.50 Typical High $23.99 | Facility | None | $17.38 | $19.50 | $23.99 |
United Setting Professional Modifier None Typical Low $8.13 Median $12.59 Typical High $28.84 | Professional | None | $8.13 | $12.59 | $28.84 |
Univera Setting Facility Modifier None Typical Low $12.59 Median $19.50 Typical High $48.98 | Facility | None | $12.59 | $19.50 | $48.98 |
Univera Setting Professional Modifier None Typical Low $12.59 Median $19.50 Typical High $25.12 | Professional | None | $12.59 | $19.50 | $25.12 |
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 $7.24 Median $7.24 Typical High $8.32 | Professional | 52 · Reduced service | $7.24 | $7.24 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $2.88 Typical High $3.31 | Professional | 53 · Discontinued | $2.88 | $2.88 | $3.31 |
Where New York sits
The same service costs 3.2 times more in Alaska 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· 26th of 51
$19.50
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.