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 $4.37 Median $6.46 Typical High $22.39 | Facility | None | $4.37 | $6.46 | $22.39 |
Aetna Setting Professional Modifier None Typical Low $4.37 Median $5.89 Typical High $9.12 | Professional | None | $4.37 | $5.89 | $9.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.41 Median $7.41 Typical High $19.50 | Facility | None | $7.41 | $7.41 | $19.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.39 Median $5.50 Typical High $16.98 | Professional | None | $3.39 | $5.50 | $16.98 |
CDPHP Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | None | $7.41 | $7.41 | $7.41 |
Cigna Setting Facility Modifier None Typical Low $7.24 Median $15.85 Typical High $63.10 | Facility | None | $7.24 | $15.85 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $5.25 Median $9.33 Typical High $45.71 | Professional | None | $5.25 | $9.33 | $45.71 |
Emblem Health Setting Facility Modifier None Typical Low $4.47 Median $8.51 Typical High $16.98 | Facility | None | $4.47 | $8.51 | $16.98 |
Emblem Health Setting Professional Modifier None Typical Low $3.55 Median $5.25 Typical High $14.45 | Professional | None | $3.55 | $5.25 | $14.45 |
Excellus BCBS Setting Facility Modifier None Typical Low $6.61 Median $6.61 Typical High $6.61 | Facility | None | $6.61 | $6.61 | $6.61 |
Excellus BCBS Setting Professional Modifier None Typical Low $6.03 Median $7.41 Typical High $8.51 | Professional | None | $6.03 | $7.41 | $8.51 |
Highmark BCBS Setting Facility Modifier None Typical Low $7.41 Median $18.62 Typical High $33.11 | Facility | None | $7.41 | $18.62 | $33.11 |
Highmark BCBS Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | None | $5.01 | $5.01 | $5.01 |
MVP Health Care Setting Facility Modifier None Typical Low $8.51 Median $14.13 Typical High $257.04 | Facility | None | $8.51 | $14.13 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $15.49 | Professional | None | $5.50 | $5.50 | $15.49 |
United Setting Facility Modifier None Typical Low $6.76 Median $7.41 Typical High $23.99 | Facility | None | $6.76 | $7.41 | $23.99 |
United Setting Professional Modifier None Typical Low $3.16 Median $4.47 Typical High $11.22 | Professional | None | $3.16 | $4.47 | $11.22 |
Univera Setting Facility Modifier None Typical Low $4.90 Median $6.61 Typical High $17.38 | Facility | None | $4.90 | $6.61 | $17.38 |
Univera Setting Professional Modifier None Typical Low $4.90 Median $7.41 Typical High $8.91 | Professional | None | $4.90 | $7.41 | $8.91 |
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 $2.14 Median $2.14 Typical High $3.16 | Professional | 52 · Reduced service | $2.14 | $2.14 | $3.16 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.85 Median $0.85 Typical High $1.26 | Professional | 53 · Discontinued | $0.85 | $0.85 | $1.26 |
Where New York sits
The same service costs 3.0 times more in Alaska than in New Jersey. 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
$6.61
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.