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 $20.89 Typical High $74.13 | Facility | None | $4.37 | $20.89 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $4.37 Median $4.37 Typical High $20.89 | Professional | None | $4.37 | $4.37 | $20.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $63.10 | Facility | None | $24.55 | $24.55 | $63.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.31 Median $9.77 Typical High $38.90 | Professional | None | $6.31 | $9.77 | $38.90 |
CDPHP Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None | $24.55 | $24.55 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $23.99 Median $52.48 Typical High $63.10 | Facility | None | $23.99 | $52.48 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $28.18 Typical High $117.49 | Professional | None | $10.47 | $28.18 | $117.49 |
Emblem Health Setting Facility Modifier None Typical Low $6.46 Median $24.55 Typical High $54.95 | Facility | None | $6.46 | $24.55 | $54.95 |
Emblem Health Setting Professional Modifier None Typical Low $11.48 Median $14.79 Typical High $47.86 | Professional | None | $11.48 | $14.79 | $47.86 |
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 $16.22 Typical High $26.92 | Professional | None | $8.13 | $16.22 | $26.92 |
MVP Health Care Setting Facility Modifier None Typical Low $11.48 Median $31.62 Typical High $257.04 | Facility | None | $11.48 | $31.62 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $50.12 | Professional | None | $5.50 | $5.50 | $50.12 |
United Setting Facility Modifier None Typical Low $21.88 Median $24.55 Typical High $30.90 | Facility | None | $21.88 | $24.55 | $30.90 |
United Setting Professional Modifier None Typical Low $8.13 Median $10.96 Typical High $36.31 | Professional | None | $8.13 | $10.96 | $36.31 |
Univera Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $28.18 | Facility | None | $8.13 | $8.13 | $28.18 |
Univera Setting Professional Modifier None Typical Low $8.13 Median $16.22 Typical High $26.92 | Professional | None | $8.13 | $16.22 | $26.92 |
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 $10.47 | Professional | 52 · Reduced service | $2.14 | $2.14 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.85 Median $0.85 Typical High $4.17 | Professional | 53 · Discontinued | $0.85 | $0.85 | $4.17 |
Where New York sits
The same service costs 4.3 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
$12.88
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.