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 $6.46 Median $20.89 Typical High $83.18 | Facility | None | $6.46 | $20.89 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $6.61 Typical High $22.91 | Professional | None | $6.46 | $6.61 | $22.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $70.79 | Facility | None | $26.92 | $26.92 | $70.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.51 Median $11.75 Typical High $47.86 | Professional | None | $8.51 | $11.75 | $47.86 |
CDPHP Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $57.54 Typical High $93.33 | Facility | None | $24.55 | $57.54 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $21.38 Typical High $131.83 | Professional | None | $6.92 | $21.38 | $131.83 |
Emblem Health Setting Facility Modifier None Typical Low $7.59 Median $26.92 Typical High $60.26 | Facility | None | $7.59 | $26.92 | $60.26 |
Emblem Health Setting Professional Modifier None Typical Low $10.72 Median $16.22 Typical High $52.48 | Professional | None | $10.72 | $16.22 | $52.48 |
Excellus BCBS Setting Professional Modifier None Typical Low $8.32 Median $22.91 Typical High $29.51 | Professional | None | $8.32 | $22.91 | $29.51 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $48.98 Typical High $257.04 | Facility | None | $13.80 | $48.98 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $56.23 | Professional | None | $8.91 | $8.91 | $56.23 |
United Setting Facility Modifier None Typical Low $24.55 Median $26.92 Typical High $33.88 | Facility | None | $24.55 | $26.92 | $33.88 |
United Setting Professional Modifier None Typical Low $7.41 Median $12.30 Typical High $39.81 | Professional | None | $7.41 | $12.30 | $39.81 |
Univera Setting Facility Modifier None Typical Low $17.78 Median $21.88 Typical High $35.48 | Facility | None | $17.78 | $21.88 | $35.48 |
Univera Setting Professional Modifier None Typical Low $9.12 Median $21.88 Typical High $30.20 | Professional | None | $9.12 | $21.88 | $30.20 |
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 $3.24 Median $3.24 Typical High $11.48 | Professional | 52 · Reduced service | $3.24 | $3.24 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $1.29 Typical High $4.57 | Professional | 53 · Discontinued | $1.29 | $1.29 | $4.57 |
Where New York sits
The same service costs 5.8 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· 37th of 51
$16.60
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.