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 $5.62 Typical High $20.42 | Facility | None | $4.37 | $5.62 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $4.37 Median $4.37 Typical High $6.03 | Professional | None | $4.37 | $4.37 | $6.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.61 Median $6.61 Typical High $17.38 | Facility | None | $6.61 | $6.61 | $17.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.31 Median $5.25 Typical High $16.60 | Professional | None | $3.31 | $5.25 | $16.60 |
CDPHP Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | None | $6.61 | $6.61 | $6.61 |
Cigna Setting Facility Modifier None Typical Low $6.46 Median $14.79 Typical High $63.10 | Facility | None | $6.46 | $14.79 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $4.79 Median $8.91 Typical High $43.65 | Professional | None | $4.79 | $8.91 | $43.65 |
Emblem Health Setting Facility Modifier None Typical Low $6.03 Median $8.71 Typical High $14.79 | Facility | None | $6.03 | $8.71 | $14.79 |
Emblem Health Setting Professional Modifier None Typical Low $3.09 Median $4.57 Typical High $12.88 | Professional | None | $3.09 | $4.57 | $12.88 |
Excellus BCBS Setting Facility Modifier None Typical Low $4.57 Median $4.57 Typical High $4.57 | Facility | None | $4.57 | $4.57 | $4.57 |
Excellus BCBS Setting Professional Modifier None Typical Low $4.57 Median $6.61 Typical High $7.41 | Professional | None | $4.57 | $6.61 | $7.41 |
MVP Health Care Setting Facility Modifier None Typical Low $6.61 Median $13.18 Typical High $257.04 | Facility | None | $6.61 | $13.18 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $16.98 | Professional | None | $5.37 | $5.37 | $16.98 |
United Setting Facility Modifier None Typical Low $6.03 Median $6.61 Typical High $30.20 | Facility | None | $6.03 | $6.61 | $30.20 |
United Setting Professional Modifier None Typical Low $2.82 Median $4.07 Typical High $10.00 | Professional | None | $2.82 | $4.07 | $10.00 |
Univera Setting Facility Modifier None Typical Low $4.37 Median $4.57 Typical High $16.98 | Facility | None | $4.37 | $4.57 | $16.98 |
Univera Setting Professional Modifier None Typical Low $4.37 Median $6.61 Typical High $7.94 | Professional | None | $4.37 | $6.61 | $7.94 |
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 $2.82 | Professional | 52 · Reduced service | $2.14 | $2.14 | $2.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.85 Median $0.85 Typical High $1.12 | Professional | 53 · Discontinued | $0.85 | $0.85 | $1.12 |
Where New York sits
The same service costs 3.6 times more in Alaska than in Kansas. 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· 35th of 51
$5.62
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.