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 $8.32 Median $9.55 Typical High $28.18 | Facility | None | $8.32 | $9.55 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $13.80 | Professional | None | $8.32 | $8.32 | $13.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.22 Median $11.22 Typical High $29.51 | Facility | None | $11.22 | $11.22 | $29.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.62 Median $8.91 Typical High $30.90 | Professional | None | $5.62 | $8.91 | $30.90 |
CDPHP Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | None | $11.22 | $11.22 | $11.22 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $25.12 Typical High $123.03 | Facility | None | $10.96 | $25.12 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $15.14 Typical High $75.86 | Professional | None | $7.76 | $15.14 | $75.86 |
Emblem Health Setting Facility Modifier None Typical Low $9.12 Median $13.80 Typical High $25.12 | Facility | None | $9.12 | $13.80 | $25.12 |
Emblem Health Setting Professional Modifier None Typical Low $5.25 Median $7.94 Typical High $21.88 | Professional | None | $5.25 | $7.94 | $21.88 |
Excellus BCBS Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Facility | None | $10.00 | $10.00 | $10.00 |
Excellus BCBS Setting Professional Modifier None Typical Low $9.55 Median $11.22 Typical High $13.49 | Professional | None | $9.55 | $11.22 | $13.49 |
Highmark BCBS Setting Facility Modifier None Typical Low $8.91 Median $24.55 Typical High $53.70 | Facility | None | $8.91 | $24.55 | $53.70 |
Highmark BCBS Setting Professional Modifier None Typical Low $7.41 Median $7.59 Typical High $7.59 | Professional | None | $7.41 | $7.59 | $7.59 |
MVP Health Care Setting Facility Modifier None Typical Low $12.88 Median $20.42 Typical High $257.04 | Facility | None | $12.88 | $20.42 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $23.44 | Professional | None | $9.12 | $9.12 | $23.44 |
United Setting Facility Modifier None Typical Low $10.23 Median $11.22 Typical High $14.13 | Facility | None | $10.23 | $11.22 | $14.13 |
United Setting Professional Modifier None Typical Low $4.68 Median $7.24 Typical High $16.98 | Professional | None | $4.68 | $7.24 | $16.98 |
Univera Setting Facility Modifier None Typical Low $7.41 Median $10.00 Typical High $28.84 | Facility | None | $7.41 | $10.00 | $28.84 |
Univera Setting Professional Modifier None Typical Low $7.41 Median $11.22 Typical High $15.14 | Professional | None | $7.41 | $11.22 | $15.14 |
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 $4.17 Median $4.17 Typical High $4.79 | Professional | 52 · Reduced service | $4.17 | $4.17 | $4.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.66 Median $1.66 Typical High $1.91 | Professional | 53 · Discontinued | $1.66 | $1.66 | $1.91 |
Where New York sits
The same service costs 11.7 times more in Vermont 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· 38th of 51
$10.00
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.