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 $30.90 Median $48.98 Typical High $112.20 | Facility | None | $30.90 | $48.98 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $41.69 Typical High $41.69 | Professional | None | $30.90 | $41.69 | $41.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $95.50 | Facility | None | $36.31 | $36.31 | $95.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $18.20 Median $38.02 Typical High $147.91 | Professional | None | $18.20 | $38.02 | $147.91 |
CDPHP Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $79.43 Typical High $549.54 | Facility | None | $35.48 | $79.43 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $52.48 Typical High $288.40 | Professional | None | $26.92 | $52.48 | $288.40 |
Emblem Health Setting Facility Modifier None Typical Low $36.31 Median $58.88 Typical High $83.18 | Facility | None | $36.31 | $58.88 | $83.18 |
Emblem Health Setting Professional Modifier None Typical Low $17.38 Median $21.88 Typical High $70.79 | Professional | None | $17.38 | $21.88 | $70.79 |
Excellus BCBS Setting Professional Modifier None Typical Low $23.99 Median $39.81 Typical High $85.11 | Professional | None | $23.99 | $39.81 | $85.11 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,202.26 | $1,202.26 | $1,202.26 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $69.18 Typical High $257.04 | Facility | None | $13.80 | $69.18 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $141.25 | Professional | None | $29.51 | $29.51 | $141.25 |
United Setting Facility Modifier None Typical Low $33.11 Median $36.31 Typical High $45.71 | Facility | None | $33.11 | $36.31 | $45.71 |
United Setting Professional Modifier None Typical Low $15.49 Median $24.55 Typical High $77.62 | Professional | None | $15.49 | $24.55 | $77.62 |
Univera Setting Facility Modifier None Typical Low $23.99 Median $41.69 Typical High $213.80 | Facility | None | $23.99 | $41.69 | $213.80 |
Univera Setting Professional Modifier None Typical Low $23.99 Median $39.81 Typical High $85.11 | Professional | None | $23.99 | $39.81 | $85.11 |
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 $15.49 Median $20.89 Typical High $20.89 | Professional | 52 · Reduced service | $15.49 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $8.32 Typical High $8.32 | Professional | 53 · Discontinued | $6.17 | $8.32 | $8.32 |
Where New York sits
The same service costs 10.2 times more in Kansas than in Alabama. 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· 34th of 51
$38.02
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.