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 $7.41 Typical High $21.88 | Facility | None | $4.37 | $7.41 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $4.37 Median $6.76 Typical High $12.02 | Professional | None | $4.37 | $6.76 | $12.02 |
Ambetter Setting Professional Modifier None Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | None | $3.89 | $3.89 | $3.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.71 Median $8.71 Typical High $22.39 | Facility | None | $8.71 | $8.71 | $22.39 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.27 Median $6.61 Typical High $19.50 | Professional | None | $4.27 | $6.61 | $19.50 |
CDPHP Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | None | $8.71 | $8.71 | $8.71 |
Cigna Setting Facility Modifier None Typical Low $8.51 Median $19.05 Typical High $63.10 | Facility | None | $8.51 | $19.05 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $6.17 Median $11.75 Typical High $51.29 | Professional | None | $6.17 | $11.75 | $51.29 |
Emblem Health Setting Facility Modifier None Typical Low $5.50 Median $10.00 Typical High $19.50 | Facility | None | $5.50 | $10.00 | $19.50 |
Emblem Health Setting Professional Modifier None Typical Low $4.07 Median $6.03 Typical High $16.60 | Professional | None | $4.07 | $6.03 | $16.60 |
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 $6.61 Median $8.51 Typical High $9.77 | Professional | None | $6.61 | $8.51 | $9.77 |
Highmark BCBS Setting Facility Modifier None Typical Low $6.31 Median $15.49 Typical High $67.61 | Facility | None | $6.31 | $15.49 | $67.61 |
Highmark BCBS Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | None | $5.75 | $5.75 | $5.75 |
MVP Health Care Setting Facility Modifier None Typical Low $8.71 Median $15.49 Typical High $257.04 | Facility | None | $8.71 | $15.49 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $17.78 | Professional | None | $6.92 | $6.92 | $17.78 |
United Setting Facility Modifier None Typical Low $2.95 Median $8.71 Typical High $44.67 | Facility | None | $2.95 | $8.71 | $44.67 |
United Setting Professional Modifier None Typical Low $3.63 Median $5.25 Typical High $12.88 | Professional | None | $3.63 | $5.25 | $12.88 |
Univera Setting Facility Modifier None Typical Low $5.62 Median $6.61 Typical High $21.38 | Facility | None | $5.62 | $6.61 | $21.38 |
Univera Setting Professional Modifier None Typical Low $5.62 Median $8.51 Typical High $10.00 | Professional | None | $5.62 | $8.51 | $10.00 |
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 $3.72 | Professional | 52 · Reduced service | $2.14 | $2.14 | $3.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.85 Median $0.85 Typical High $1.48 | Professional | 53 · Discontinued | $0.85 | $0.85 | $1.48 |
Where New York sits
The same service costs 13.2 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· 42nd of 51
$7.41
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.