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 $18.20 Median $20.89 Typical High $87.10 | Facility | None | $18.20 | $20.89 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $23.99 | Professional | None | $18.20 | $18.20 | $23.99 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.23 Median $12.30 Typical High $17.78 | Professional | None | $10.23 | $12.30 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $77.62 Typical High $239.88 | Facility | None | $32.36 | $77.62 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $31.62 Typical High $70.79 | Professional | None | $15.14 | $31.62 | $70.79 |
Emblem Health Setting Facility Modifier None Typical Low $11.22 Median $17.78 Typical High $58.88 | Facility | None | $11.22 | $17.78 | $58.88 |
Emblem Health Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $39.81 | Professional | None | $22.39 | $22.39 | $39.81 |
Excellus BCBS Setting Professional Modifier None Typical Low $12.59 Median $19.50 Typical High $21.38 | Professional | None | $12.59 | $19.50 | $21.38 |
Highmark BCBS Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $35.48 Typical High $257.04 | Facility | None | $13.80 | $35.48 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
United Setting Facility Modifier None Typical Low $75.86 Median $87.10 Typical High $107.15 | Facility | None | $75.86 | $87.10 | $107.15 |
United Setting Professional Modifier None Typical Low $11.22 Median $15.14 Typical High $21.88 | Professional | None | $11.22 | $15.14 | $21.88 |
Univera Setting Facility Modifier None Typical Low $12.59 Median $21.38 Typical High $66.07 | Facility | None | $12.59 | $21.38 | $66.07 |
Univera Setting Professional Modifier None Typical Low $12.59 Median $18.20 Typical High $21.38 | Professional | None | $12.59 | $18.20 | $21.38 |
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 $8.91 Median $8.91 Typical High $12.02 | Professional | 52 · Reduced service | $8.91 | $8.91 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.63 Typical High $4.79 | Professional | 53 · Discontinued | $3.63 | $3.63 | $4.79 |
Where New York sits
The same service costs 8.9 times more in Alaska than in Kentucky. 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
$18.20
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.