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 $4.37 Median $9.55 Typical High $30.90 | Facility | None | $4.37 | $9.55 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $4.37 Median $4.37 Typical High $10.96 | Professional | None | $4.37 | $4.37 | $10.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $31.62 | Facility | None | $12.30 | $12.30 | $31.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.03 Median $7.41 Typical High $25.12 | Professional | None | $6.03 | $7.41 | $25.12 |
CDPHP Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | None | $12.30 | $12.30 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $31.62 Typical High $63.10 | Facility | None | $12.02 | $31.62 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $16.60 Typical High $81.28 | Professional | None | $8.51 | $16.60 | $81.28 |
Emblem Health Setting Facility Modifier None Typical Low $6.46 Median $12.30 Typical High $27.54 | Facility | None | $6.46 | $12.30 | $27.54 |
Emblem Health Setting Professional Modifier None Typical Low $5.75 Median $8.13 Typical High $23.99 | Professional | None | $5.75 | $8.13 | $23.99 |
Excellus BCBS Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Facility | None | $8.13 | $8.13 | $8.13 |
Excellus BCBS Setting Professional Modifier None Typical Low $8.13 Median $11.75 Typical High $13.49 | Professional | None | $8.13 | $11.75 | $13.49 |
MVP Health Care Setting Facility Modifier None Typical Low $11.48 Median $19.95 Typical High $257.04 | Facility | None | $11.48 | $19.95 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $25.12 | Professional | None | $5.50 | $5.50 | $25.12 |
United Setting Facility Modifier None Typical Low $10.96 Median $12.30 Typical High $15.14 | Facility | None | $10.96 | $12.30 | $15.14 |
United Setting Professional Modifier None Typical Low $5.13 Median $6.76 Typical High $18.20 | Professional | None | $5.13 | $6.76 | $18.20 |
Univera Setting Facility Modifier None Typical Low $7.94 Median $8.13 Typical High $23.44 | Facility | None | $7.94 | $8.13 | $23.44 |
Univera Setting Professional Modifier None Typical Low $7.94 Median $11.75 Typical High $13.80 | Professional | None | $7.94 | $11.75 | $13.80 |
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 $2.14 Median $2.14 Typical High $5.25 | Professional | 52 · Reduced service | $2.14 | $2.14 | $5.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.85 Median $0.85 Typical High $2.09 | Professional | 53 · Discontinued | $0.85 | $0.85 | $2.09 |
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· 49th of 51
$9.33
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.