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 $4.68 Median $13.18 Typical High $40.74 | Facility | None | $4.68 | $13.18 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $4.37 Median $4.37 Typical High $13.80 | Professional | None | $4.37 | $4.37 | $13.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $41.69 | Facility | None | $16.22 | $16.22 | $41.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.31 Median $8.71 Typical High $30.20 | Professional | None | $6.31 | $8.71 | $30.20 |
CDPHP Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | None | $16.22 | $16.22 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $34.67 Typical High $63.10 | Facility | None | $15.85 | $34.67 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $18.62 Typical High $87.10 | Professional | None | $9.77 | $18.62 | $87.10 |
Emblem Health Setting Facility Modifier None Typical Low $6.46 Median $16.22 Typical High $36.31 | Facility | None | $6.46 | $16.22 | $36.31 |
Emblem Health Setting Professional Modifier None Typical Low $7.59 Median $9.77 Typical High $31.62 | Professional | None | $7.59 | $9.77 | $31.62 |
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 $12.88 Typical High $17.78 | Professional | None | $8.13 | $12.88 | $17.78 |
MVP Health Care Setting Facility Modifier None Typical Low $11.48 Median $20.89 Typical High $257.04 | Facility | None | $11.48 | $20.89 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $33.11 | Professional | None | $5.50 | $5.50 | $33.11 |
United Setting Facility Modifier None Typical Low $14.45 Median $16.22 Typical High $20.42 | Facility | None | $14.45 | $16.22 | $20.42 |
United Setting Professional Modifier None Typical Low $6.76 Median $7.76 Typical High $24.55 | Professional | None | $6.76 | $7.76 | $24.55 |
Univera Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $23.44 | Facility | None | $8.13 | $8.13 | $23.44 |
Univera Setting Professional Modifier None Typical Low $8.13 Median $12.59 Typical High $18.20 | Professional | None | $8.13 | $12.59 | $18.20 |
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 $6.92 | Professional | 52 · Reduced service | $2.14 | $2.14 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.85 Median $0.85 Typical High $2.75 | Professional | 53 · Discontinued | $0.85 | $0.85 | $2.75 |
Where New York sits
The same service costs 3.4 times more in Alaska than in New York. 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· 51st of 51
$10.72
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.