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 $12.59 Median $15.85 Typical High $51.29 | Facility | None | $12.59 | $15.85 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $14.45 | Professional | None | $12.59 | $12.59 | $14.45 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $43.65 | Facility | None | $16.98 | $16.98 | $43.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.32 Median $13.49 Typical High $44.67 | Professional | None | $8.32 | $13.49 | $44.67 |
CDPHP Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $16.60 Median $41.69 Typical High $181.97 | Facility | None | $16.60 | $41.69 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $22.91 Typical High $109.65 | Professional | None | $11.75 | $22.91 | $109.65 |
Emblem Health Setting Facility Modifier None Typical Low $12.59 Median $19.95 Typical High $38.02 | Facility | None | $12.59 | $19.95 | $38.02 |
Emblem Health Setting Professional Modifier None Typical Low $7.94 Median $10.00 Typical High $32.36 | Professional | None | $7.94 | $10.00 | $32.36 |
Excellus BCBS Setting Professional Modifier None Typical Low $10.96 Median $16.98 Typical High $25.70 | Professional | None | $10.96 | $16.98 | $25.70 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $30.20 Typical High $257.04 | Facility | None | $13.80 | $30.20 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $50.12 | Professional | None | $13.49 | $13.49 | $50.12 |
United Setting Facility Modifier None Typical Low $15.14 Median $16.98 Typical High $44.67 | Facility | None | $15.14 | $16.98 | $44.67 |
United Setting Professional Modifier None Typical Low $7.08 Median $10.96 Typical High $25.12 | Professional | None | $7.08 | $10.96 | $25.12 |
Univera Setting Facility Modifier None Typical Low $10.96 Median $19.50 Typical High $63.10 | Facility | None | $10.96 | $19.50 | $63.10 |
Univera Setting Professional Modifier None Typical Low $10.96 Median $16.98 Typical High $25.70 | Professional | None | $10.96 | $16.98 | $25.70 |
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 $6.31 Median $6.31 Typical High $7.08 | Professional | 52 · Reduced service | $6.31 | $6.31 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.51 Typical High $2.88 | Professional | 53 · Discontinued | $2.51 | $2.51 | $2.88 |
Where New York sits
The same service costs 3.6 times more in Alaska than in Alabama. 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· 27th 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.