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 $19.50 Median $23.44 Typical High $93.33 | Facility | None | $19.50 | $23.44 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $25.70 | Professional | None | $19.50 | $19.50 | $25.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.51 Median $13.49 Typical High $25.12 | Professional | None | $8.51 | $13.49 | $25.12 |
CDPHP Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | None | $7.24 | $7.24 | $7.24 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $70.79 Typical High $158.49 | Facility | None | $36.31 | $70.79 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $32.36 Typical High $109.65 | Professional | None | $12.59 | $32.36 | $109.65 |
Emblem Health Setting Facility Modifier None Typical Low $13.49 Median $21.38 Typical High $44.67 | Facility | None | $13.49 | $21.38 | $44.67 |
Emblem Health Setting Professional Modifier None Typical Low $10.00 Median $12.59 Typical High $21.38 | Professional | None | $10.00 | $12.59 | $21.38 |
Excellus BCBS Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Facility | None | $11.75 | $11.75 | $11.75 |
Excellus BCBS Setting Professional Modifier None Typical Low $11.75 Median $16.22 Typical High $22.91 | Professional | None | $11.75 | $16.22 | $22.91 |
Highmark BCBS Setting Facility Modifier None Typical Low $14.45 Median $181.97 Typical High $239.88 | Facility | None | $14.45 | $181.97 | $239.88 |
MVP Health Care Setting Facility Modifier None Typical Low $9.77 Median $19.95 Typical High $257.04 | Facility | None | $9.77 | $19.95 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $24.55 | Professional | None | $22.39 | $22.39 | $24.55 |
United Setting Facility Modifier None Typical Low $338.84 Median $398.11 Typical High $489.78 | Facility | None | $338.84 | $398.11 | $489.78 |
United Setting Professional Modifier None Typical Low $9.77 Median $16.22 Typical High $48.98 | Professional | None | $9.77 | $16.22 | $48.98 |
Univera Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $23.99 | Facility | None | $11.75 | $11.75 | $23.99 |
Univera Setting Professional Modifier None Typical Low $11.75 Median $16.98 Typical High $28.84 | Professional | None | $11.75 | $16.98 | $28.84 |
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 $9.77 Median $9.77 Typical High $12.88 | Professional | 52 · Reduced service | $9.77 | $9.77 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $3.89 Typical High $5.13 | Professional | 53 · Discontinued | $3.89 | $3.89 | $5.13 |
Where New York sits
The same service costs 11.2 times more in Texas 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· 50th of 51
$15.49
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.