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 $15.85 Median $20.89 Typical High $75.86 | Facility | None | $15.85 | $20.89 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $20.89 | Professional | None | $15.85 | $15.85 | $20.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.12 Median $10.72 Typical High $15.49 | Professional | None | $9.12 | $10.72 | $15.49 |
CDPHP Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | None | $22.91 | $22.91 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $67.61 Typical High $151.36 | Facility | None | $28.18 | $67.61 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $27.54 Typical High $61.66 | Professional | None | $12.30 | $27.54 | $61.66 |
Emblem Health Setting Facility Modifier None Typical Low $10.00 Median $16.22 Typical High $41.69 | Facility | None | $10.00 | $16.22 | $41.69 |
Emblem Health Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $28.18 | Professional | None | $15.85 | $15.85 | $28.18 |
Excellus BCBS Setting Professional Modifier None Typical Low $11.22 Median $17.38 Typical High $19.05 | Professional | None | $11.22 | $17.38 | $19.05 |
Highmark BCBS Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $19.95 Typical High $257.04 | Facility | None | $13.80 | $19.95 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None | $39.81 | $39.81 | $39.81 |
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 $13.18 Typical High $19.95 | Professional | None | $9.77 | $13.18 | $19.95 |
Univera Setting Facility Modifier None Typical Low $11.22 Median $19.05 Typical High $35.48 | Facility | None | $11.22 | $19.05 | $35.48 |
Univera Setting Professional Modifier None Typical Low $10.96 Median $16.22 Typical High $19.05 | Professional | None | $10.96 | $16.22 | $19.05 |
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 $7.94 Median $7.94 Typical High $10.47 | Professional | 52 · Reduced service | $7.94 | $7.94 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.16 Typical High $4.17 | Professional | 53 · Discontinued | $3.16 | $3.16 | $4.17 |
Where New York sits
The same service costs 14.8 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· 28th of 51
$15.85
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.