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 $10.96 Median $15.85 Typical High $52.48 | Facility | None | $10.96 | $15.85 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $13.18 | Professional | None | $10.96 | $10.96 | $13.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $38.90 | Facility | None | $14.79 | $14.79 | $38.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.24 Median $11.48 Typical High $38.02 | Professional | None | $7.24 | $11.48 | $38.02 |
CDPHP Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | None | $14.79 | $14.79 | $14.79 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $38.02 Typical High $158.49 | Facility | None | $14.45 | $38.02 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $19.95 Typical High $97.72 | Professional | None | $10.47 | $19.95 | $97.72 |
Emblem Health Setting Facility Modifier None Typical Low $7.59 Median $14.79 Typical High $33.11 | Facility | None | $7.59 | $14.79 | $33.11 |
Emblem Health Setting Professional Modifier None Typical Low $6.92 Median $8.91 Typical High $28.84 | Professional | None | $6.92 | $8.91 | $28.84 |
Excellus BCBS Setting Professional Modifier None Typical Low $9.77 Median $14.13 Typical High $16.22 | Professional | None | $9.77 | $14.13 | $16.22 |
Highmark BCBS Setting Facility Modifier None Typical Low $9.77 Median $37.15 Typical High $72.44 | Facility | None | $9.77 | $37.15 | $72.44 |
Highmark BCBS Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $26.92 Typical High $257.04 | Facility | None | $13.80 | $26.92 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $40.74 | Professional | None | $11.75 | $11.75 | $40.74 |
United Setting Facility Modifier None Typical Low $13.18 Median $14.79 Typical High $18.62 | Facility | None | $13.18 | $14.79 | $18.62 |
United Setting Professional Modifier None Typical Low $6.17 Median $8.91 Typical High $22.39 | Professional | None | $6.17 | $8.91 | $22.39 |
Univera Setting Facility Modifier None Typical Low $9.77 Median $16.98 Typical High $35.48 | Facility | None | $9.77 | $16.98 | $35.48 |
Univera Setting Professional Modifier None Typical Low $8.91 Median $14.13 Typical High $16.60 | Professional | None | $8.91 | $14.13 | $16.60 |
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 $5.50 Median $5.50 Typical High $6.31 | Professional | 52 · Reduced service | $5.50 | $5.50 | $6.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.19 Typical High $2.51 | Professional | 53 · Discontinued | $2.19 | $2.19 | $2.51 |
Where New York sits
The same service costs 4.0 times more in Kansas 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· 36th of 51
$12.59
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.