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 $2.82 Median $3.39 Typical High $9.55 | Facility | None | $2.82 | $3.39 | $9.55 |
Aetna Setting Professional Modifier None Typical Low $2.82 Median $2.82 Typical High $4.17 | Professional | None | $2.82 | $2.82 | $4.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.80 Median $3.80 Typical High $10.00 | Facility | None | $3.80 | $3.80 | $10.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.91 Median $3.02 Typical High $10.23 | Professional | None | $1.91 | $3.02 | $10.23 |
CDPHP Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $3.80 | Professional | None | $3.80 | $3.80 | $3.80 |
Cigna Setting Facility Modifier None Typical Low $3.72 Median $8.32 Typical High $41.69 | Facility | None | $3.72 | $8.32 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $2.63 Median $5.25 Typical High $28.84 | Professional | None | $2.63 | $5.25 | $28.84 |
Emblem Health Setting Facility Modifier None Typical Low $3.02 Median $5.01 Typical High $8.71 | Facility | None | $3.02 | $5.01 | $8.71 |
Emblem Health Setting Professional Modifier None Typical Low $1.82 Median $2.69 Typical High $7.41 | Professional | None | $1.82 | $2.69 | $7.41 |
Excellus BCBS Setting Facility Modifier None Typical Low $3.80 Median $3.80 Typical High $3.80 | Facility | None | $3.80 | $3.80 | $3.80 |
Excellus BCBS Setting Professional Modifier None Typical Low $3.24 Median $3.80 Typical High $5.13 | Professional | None | $3.24 | $3.80 | $5.13 |
Highmark BCBS Setting Facility Modifier None Typical Low $4.79 Median $30.90 Typical High $794.33 | Facility | None | $4.79 | $30.90 | $794.33 |
Highmark BCBS Setting Professional Modifier None Typical Low $2.57 Median $2.57 Typical High $2.57 | Professional | None | $2.57 | $2.57 | $2.57 |
MVP Health Care Setting Facility Modifier None Typical Low $4.79 Median $8.32 Typical High $257.04 | Facility | None | $4.79 | $8.32 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $7.94 | Professional | None | $3.09 | $3.09 | $7.94 |
United Setting Facility Modifier None Typical Low $724.44 Median $831.76 Typical High $1,047.13 | Facility | None | $724.44 | $831.76 | $1,047.13 |
United Setting Professional Modifier None Typical Low $1.62 Median $2.51 Typical High $5.89 | Professional | None | $1.62 | $2.51 | $5.89 |
Univera Setting Facility Modifier None Typical Low $2.51 Median $3.80 Typical High $9.77 | Facility | None | $2.51 | $3.80 | $9.77 |
Univera Setting Professional Modifier None Typical Low $2.51 Median $3.80 Typical High $5.89 | Professional | None | $2.51 | $3.80 | $5.89 |
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 $1.41 Median $1.41 Typical High $1.62 | Professional | 52 · Reduced service | $1.41 | $1.41 | $1.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.56 Median $0.56 Typical High $0.65 | Professional | 53 · Discontinued | $0.56 | $0.56 | $0.65 |
Where New York sits
The same service costs 4.2 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· 30th of 51
$3.80
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.