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 $16.60 Typical High $48.98 | Facility | None | $6.46 | $16.60 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $15.14 Typical High $25.70 | Professional | None | $6.46 | $15.14 | $25.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $51.29 | Facility | None | $19.50 | $19.50 | $51.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.77 Median $13.49 Typical High $39.81 | Professional | None | $9.77 | $13.49 | $39.81 |
CDPHP Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $19.05 Median $42.66 Typical High $95.50 | Facility | None | $19.05 | $42.66 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $28.18 Typical High $131.83 | Professional | None | $13.80 | $28.18 | $131.83 |
Emblem Health Setting Facility Modifier None Typical Low $10.72 Median $21.88 Typical High $43.65 | Facility | None | $10.72 | $21.88 | $43.65 |
Emblem Health Setting Professional Modifier None Typical Low $9.12 Median $11.75 Typical High $38.02 | Professional | None | $9.12 | $11.75 | $38.02 |
Excellus BCBS Setting Facility Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Facility | None | $8.32 | $8.32 | $8.32 |
Excellus BCBS Setting Professional Modifier None Typical Low $8.32 Median $18.62 Typical High $21.88 | Professional | None | $8.32 | $18.62 | $21.88 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $25.70 Typical High $257.04 | Facility | None | $13.80 | $25.70 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $40.74 | Professional | None | $15.14 | $15.14 | $40.74 |
United Setting Facility Modifier None Typical Low $17.78 Median $19.50 Typical High $24.55 | Facility | None | $17.78 | $19.50 | $24.55 |
United Setting Professional Modifier None Typical Low $8.32 Median $11.75 Typical High $29.51 | Professional | None | $8.32 | $11.75 | $29.51 |
Univera Setting Facility Modifier None Typical Low $8.32 Median $8.32 Typical High $50.12 | Facility | None | $8.32 | $8.32 | $50.12 |
Univera Setting Professional Modifier None Typical Low $8.32 Median $18.62 Typical High $23.44 | Professional | None | $8.32 | $18.62 | $23.44 |
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 $8.32 | Professional | 52 · Reduced service | $3.24 | $3.24 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $1.29 Typical High $3.31 | Professional | 53 · Discontinued | $1.29 | $1.29 | $3.31 |
Where New York sits
The same service costs 4.6 times more in Kansas 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· 45th of 51
$15.14
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.