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 $32.36 | Facility | None | $4.37 | $10.96 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $4.37 Median $10.00 Typical High $16.98 | Professional | None | $4.37 | $10.00 | $16.98 |
Ambetter Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | None | $5.75 | $5.75 | $5.75 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $33.11 | Facility | None | $12.88 | $12.88 | $33.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.31 Median $7.76 Typical High $26.30 | Professional | None | $6.31 | $7.76 | $26.30 |
CDPHP Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | None | $12.88 | $12.88 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $28.18 Typical High $63.10 | Facility | None | $12.59 | $28.18 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $17.38 Typical High $85.11 | Professional | None | $8.91 | $17.38 | $85.11 |
Emblem Health Setting Facility Modifier None Typical Low $6.46 Median $12.88 Typical High $28.84 | Facility | None | $6.46 | $12.88 | $28.84 |
Emblem Health Setting Professional Modifier None Typical Low $6.03 Median $8.13 Typical High $25.12 | Professional | None | $6.03 | $8.13 | $25.12 |
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 $14.45 | Professional | None | $8.13 | $12.30 | $14.45 |
Highmark BCBS Setting Facility Modifier None Typical Low $10.96 Median $27.54 Typical High $67.61 | Facility | None | $10.96 | $27.54 | $67.61 |
Highmark BCBS Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $9.12 | Professional | None | $8.51 | $8.51 | $9.12 |
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 $26.30 | Professional | None | $5.50 | $5.50 | $26.30 |
United Setting Facility Modifier None Typical Low $11.48 Median $12.88 Typical High $16.22 | Facility | None | $11.48 | $12.88 | $16.22 |
United Setting Professional Modifier None Typical Low $5.37 Median $6.46 Typical High $19.50 | Professional | None | $5.37 | $6.46 | $19.50 |
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 $17.78 | Professional | None | $8.13 | $12.30 | $17.78 |
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 $2.19 | Professional | 53 · Discontinued | $0.85 | $0.85 | $2.19 |
Where New York sits
The same service costs 13.5 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.