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 $6.03 Median $6.92 Typical High $20.42 | Facility | None | $6.03 | $6.92 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $10.72 | Professional | None | $6.03 | $6.03 | $10.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $20.89 | Facility | None | $8.13 | $8.13 | $20.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.98 Median $7.59 Typical High $21.38 | Professional | None | $3.98 | $7.59 | $21.38 |
CDPHP Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | None | $8.13 | $8.13 | $8.13 |
Cigna Setting Facility Modifier None Typical Low $7.94 Median $17.78 Typical High $87.10 | Facility | None | $7.94 | $17.78 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $5.75 Median $11.75 Typical High $53.70 | Professional | None | $5.75 | $11.75 | $53.70 |
Emblem Health Setting Facility Modifier None Typical Low $7.59 Median $10.47 Typical High $18.20 | Facility | None | $7.59 | $10.47 | $18.20 |
Emblem Health Setting Professional Modifier None Typical Low $3.80 Median $5.62 Typical High $15.85 | Professional | None | $3.80 | $5.62 | $15.85 |
Excellus BCBS Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Facility | None | $8.13 | $8.13 | $8.13 |
Excellus BCBS Setting Professional Modifier None Typical Low $6.92 Median $8.13 Typical High $10.72 | Professional | None | $6.92 | $8.13 | $10.72 |
Highmark BCBS Setting Facility Modifier None Typical Low $5.37 Median $13.18 Typical High $38.02 | Facility | None | $5.37 | $13.18 | $38.02 |
Highmark BCBS Setting Professional Modifier None Typical Low $5.37 Median $5.75 Typical High $6.03 | Professional | None | $5.37 | $5.75 | $6.03 |
MVP Health Care Setting Facility Modifier None Typical Low $10.00 Median $15.14 Typical High $257.04 | Facility | None | $10.00 | $15.14 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $19.95 | Professional | None | $6.46 | $6.46 | $19.95 |
United Setting Facility Modifier None Typical Low $7.24 Median $8.13 Typical High $60.26 | Facility | None | $7.24 | $8.13 | $60.26 |
United Setting Professional Modifier None Typical Low $3.39 Median $5.25 Typical High $12.02 | Professional | None | $3.39 | $5.25 | $12.02 |
Univera Setting Facility Modifier None Typical Low $5.25 Median $8.13 Typical High $20.42 | Facility | None | $5.25 | $8.13 | $20.42 |
Univera Setting Professional Modifier None Typical Low $5.25 Median $8.13 Typical High $15.49 | Professional | None | $5.25 | $8.13 | $15.49 |
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 $3.02 Median $3.02 Typical High $3.47 | Professional | 52 · Reduced service | $3.02 | $3.02 | $3.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.20 Median $1.20 Typical High $1.38 | Professional | 53 · Discontinued | $1.20 | $1.20 | $1.38 |
Where New York sits
The same service costs 5.6 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· 29th of 51
$8.13
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.