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 $10.96 Typical High $33.11 | Facility | None | $4.37 | $10.96 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $4.37 Median $10.00 Typical High $16.22 | Professional | None | $4.37 | $10.00 | $16.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $33.88 | Facility | None | $13.18 | $13.18 | $33.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.31 Median $7.94 Typical High $26.30 | Professional | None | $6.31 | $7.94 | $26.30 |
CDPHP Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | None | $13.18 | $13.18 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $28.84 Typical High $63.10 | Facility | None | $12.59 | $28.84 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $17.78 Typical High $87.10 | Professional | None | $9.33 | $17.78 | $87.10 |
Emblem Health Setting Facility Modifier None Typical Low $6.46 Median $13.18 Typical High $29.51 | Facility | None | $6.46 | $13.18 | $29.51 |
Emblem Health Setting Professional Modifier None Typical Low $5.62 Median $6.61 Typical High $14.79 | Professional | None | $5.62 | $6.61 | $14.79 |
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 $12.30 Typical High $14.79 | Professional | None | $8.13 | $12.30 | $14.79 |
Highmark BCBS Setting Facility Modifier None Typical Low $10.96 Median $23.44 Typical High $60.26 | Facility | None | $10.96 | $23.44 | $60.26 |
Highmark BCBS Setting Professional Modifier None Typical Low $7.76 Median $8.71 Typical High $8.71 | Professional | None | $7.76 | $8.71 | $8.71 |
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 $26.92 | Professional | None | $5.50 | $5.50 | $26.92 |
United Setting Facility Modifier None Typical Low $11.75 Median $13.18 Typical High $16.22 | Facility | None | $11.75 | $13.18 | $16.22 |
United Setting Professional Modifier None Typical Low $5.50 Median $6.76 Typical High $19.95 | Professional | None | $5.50 | $6.76 | $19.95 |
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 $12.30 Typical High $15.14 | Professional | None | $8.13 | $12.30 | $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 $2.14 Median $2.14 Typical High $5.50 | Professional | 52 · Reduced service | $2.14 | $2.14 | $5.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.85 Median $0.85 Typical High $2.24 | Professional | 53 · Discontinued | $0.85 | $0.85 | $2.24 |
Where New York sits
The same service costs 10.2 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· 49th 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.