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 $3.80 Median $4.57 Typical High $13.18 | Facility | None | $3.80 | $4.57 | $13.18 |
Aetna Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $4.57 | Professional | None | $3.80 | $3.80 | $4.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.13 Median $5.13 Typical High $13.49 | Facility | None | $5.13 | $5.13 | $13.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.57 Median $4.17 Typical High $13.80 | Professional | None | $2.57 | $4.17 | $13.80 |
CDPHP Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | None | $5.13 | $5.13 | $5.13 |
Cigna Setting Facility Modifier None Typical Low $5.01 Median $13.49 Typical High $56.23 | Facility | None | $5.01 | $13.49 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $3.55 Median $7.08 Typical High $36.31 | Professional | None | $3.55 | $7.08 | $36.31 |
Emblem Health Setting Facility Modifier None Typical Low $4.47 Median $6.76 Typical High $11.75 | Facility | None | $4.47 | $6.76 | $11.75 |
Emblem Health Setting Professional Modifier None Typical Low $2.45 Median $3.09 Typical High $10.00 | Professional | None | $2.45 | $3.09 | $10.00 |
Excellus BCBS Setting Professional Modifier None Typical Low $3.39 Median $5.13 Typical High $6.31 | Professional | None | $3.39 | $5.13 | $6.31 |
Highmark BCBS Setting Facility Modifier None Typical Low $4.37 Median $177.83 Typical High $562.34 | Facility | None | $4.37 | $177.83 | $562.34 |
Highmark BCBS Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | None | $3.47 | $3.47 | $3.47 |
MVP Health Care Setting Facility Modifier None Typical Low $6.46 Median $13.80 Typical High $257.04 | Facility | None | $6.46 | $13.80 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $4.17 Median $4.17 Typical High $10.72 | Professional | None | $4.17 | $4.17 | $10.72 |
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 $2.19 Median $3.39 Typical High $8.32 | Professional | None | $2.19 | $3.39 | $8.32 |
Univera Setting Facility Modifier None Typical Low $3.39 Median $6.03 Typical High $19.95 | Facility | None | $3.39 | $6.03 | $19.95 |
Univera Setting Professional Modifier None Typical Low $3.39 Median $5.13 Typical High $6.31 | Professional | None | $3.39 | $5.13 | $6.31 |
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 $1.91 Median $1.91 Typical High $2.19 | Professional | 52 · Reduced service | $1.91 | $1.91 | $2.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.78 Median $0.78 Typical High $0.87 | Professional | 53 · Discontinued | $0.78 | $0.78 | $0.87 |
Where New York sits
The same service costs 4.3 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· 32nd of 51
$4.90
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.