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 $11.22 Median $13.49 Typical High $38.90 | Facility | None | $11.22 | $13.49 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $13.49 | Professional | None | $11.48 | $11.48 | $13.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $39.81 | Facility | None | $15.14 | $15.14 | $39.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.59 Median $11.75 Typical High $39.81 | Professional | None | $7.59 | $11.75 | $39.81 |
CDPHP Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $33.11 Typical High $165.96 | Facility | None | $14.79 | $33.11 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $20.89 Typical High $100.00 | Professional | None | $10.72 | $20.89 | $100.00 |
Emblem Health Setting Facility Modifier None Typical Low $7.59 Median $15.14 Typical High $34.67 | Facility | None | $7.59 | $15.14 | $34.67 |
Emblem Health Setting Professional Modifier None Typical Low $7.24 Median $10.72 Typical High $29.51 | Professional | None | $7.24 | $10.72 | $29.51 |
Excellus BCBS Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
Excellus BCBS Setting Professional Modifier None Typical Low $9.77 Median $15.14 Typical High $17.38 | Professional | None | $9.77 | $15.14 | $17.38 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $27.54 Typical High $257.04 | Facility | None | $13.80 | $27.54 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $52.48 | Professional | None | $12.30 | $12.30 | $52.48 |
United Setting Facility Modifier None Typical Low $13.80 Median $15.14 Typical High $19.05 | Facility | None | $13.80 | $15.14 | $19.05 |
United Setting Professional Modifier None Typical Low $6.46 Median $9.12 Typical High $22.91 | Professional | None | $6.46 | $9.12 | $22.91 |
Univera Setting Facility Modifier None Typical Low $10.00 Median $15.14 Typical High $23.44 | Facility | None | $10.00 | $15.14 | $23.44 |
Univera Setting Professional Modifier None Typical Low $9.77 Median $15.14 Typical High $19.95 | Professional | None | $9.77 | $15.14 | $19.95 |
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 $5.62 Median $5.62 Typical High $6.46 | Professional | 52 · Reduced service | $5.62 | $5.62 | $6.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.29 Typical High $2.57 | Professional | 53 · Discontinued | $2.29 | $2.29 | $2.57 |
Where New York sits
The same service costs 3.9 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· 32nd of 51
$14.45
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.