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 $7.08 Median $8.13 Typical High $23.99 | Facility | None | $7.08 | $8.13 | $23.99 |
Aetna Setting Professional Modifier None Typical Low $7.08 Median $7.59 Typical High $12.30 | Professional | None | $7.08 | $7.59 | $12.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.55 Median $9.55 Typical High $24.55 | Facility | None | $9.55 | $9.55 | $24.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.68 Median $8.32 Typical High $24.55 | Professional | None | $4.68 | $8.32 | $24.55 |
CDPHP Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | None | $9.55 | $9.55 | $9.55 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $20.42 Typical High $102.33 | Facility | None | $9.33 | $20.42 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $6.61 Median $12.88 Typical High $60.26 | Professional | None | $6.61 | $12.88 | $60.26 |
Emblem Health Setting Facility Modifier None Typical Low $5.50 Median $9.55 Typical High $21.38 | Facility | None | $5.50 | $9.55 | $21.38 |
Emblem Health Setting Professional Modifier None Typical Low $4.47 Median $6.61 Typical High $18.20 | Professional | None | $4.47 | $6.61 | $18.20 |
Excellus BCBS Setting Facility Modifier None Typical Low $9.55 Median $9.55 Typical High $9.55 | Facility | None | $9.55 | $9.55 | $9.55 |
Excellus BCBS Setting Professional Modifier None Typical Low $7.41 Median $9.55 Typical High $11.22 | Professional | None | $7.41 | $9.55 | $11.22 |
Highmark BCBS Setting Facility Modifier None Typical Low $6.46 Median $18.62 Typical High $43.65 | Facility | None | $6.46 | $18.62 | $43.65 |
Highmark BCBS Setting Professional Modifier None Typical Low $6.03 Median $6.31 Typical High $7.08 | Professional | None | $6.03 | $6.31 | $7.08 |
MVP Health Care Setting Facility Modifier None Typical Low $10.47 Median $17.78 Typical High $257.04 | Facility | None | $10.47 | $17.78 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $19.50 | Professional | None | $7.59 | $7.59 | $19.50 |
United Setting Facility Modifier None Typical Low $8.51 Median $9.55 Typical High $36.31 | Facility | None | $8.51 | $9.55 | $36.31 |
United Setting Professional Modifier None Typical Low $3.98 Median $6.17 Typical High $14.45 | Professional | None | $3.98 | $6.17 | $14.45 |
Univera Setting Facility Modifier None Typical Low $6.17 Median $9.55 Typical High $21.38 | Facility | None | $6.17 | $9.55 | $21.38 |
Univera Setting Professional Modifier None Typical Low $6.17 Median $9.55 Typical High $12.30 | Professional | None | $6.17 | $9.55 | $12.30 |
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 $3.55 Median $3.55 Typical High $4.07 | Professional | 52 · Reduced service | $3.55 | $3.55 | $4.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.41 Median $1.41 Typical High $1.62 | Professional | 53 · Discontinued | $1.41 | $1.41 | $1.62 |
Where New York sits
The same service costs 15.8 times more in Vermont 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· 33rd of 51
$9.12
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.