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 $4.17 Median $6.17 Typical High $22.39 | Facility | None | $4.17 | $6.17 | $22.39 |
Aetna Setting Professional Modifier None Typical Low $4.17 Median $4.17 Typical High $6.17 | Professional | None | $4.17 | $4.17 | $6.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.24 Median $7.24 Typical High $19.05 | Facility | None | $7.24 | $7.24 | $19.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.95 Median $5.01 Typical High $16.60 | Professional | None | $2.95 | $5.01 | $16.60 |
CDPHP Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | None | $7.24 | $7.24 | $7.24 |
Cigna Setting Facility Modifier None Typical Low $7.08 Median $15.49 Typical High $61.66 | Facility | None | $7.08 | $15.49 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $4.37 Median $8.71 Typical High $38.02 | Professional | None | $4.37 | $8.71 | $38.02 |
Emblem Health Setting Facility Modifier None Typical Low $2.51 Median $7.24 Typical High $16.60 | Facility | None | $2.51 | $7.24 | $16.60 |
Emblem Health Setting Professional Modifier None Typical Low $3.47 Median $5.13 Typical High $14.13 | Professional | None | $3.47 | $5.13 | $14.13 |
Excellus BCBS Setting Facility Modifier None Typical Low $7.24 Median $7.24 Typical High $7.24 | Facility | None | $7.24 | $7.24 | $7.24 |
Excellus BCBS Setting Professional Modifier None Typical Low $5.01 Median $7.24 Typical High $8.13 | Professional | None | $5.01 | $7.24 | $8.13 |
MVP Health Care Setting Facility Modifier None Typical Low $7.24 Median $13.80 Typical High $257.04 | Facility | None | $7.24 | $13.80 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $15.14 | Professional | None | $4.79 | $4.79 | $15.14 |
United Setting Facility Modifier None Typical Low $6.61 Median $7.24 Typical High $9.12 | Facility | None | $6.61 | $7.24 | $9.12 |
United Setting Professional Modifier None Typical Low $3.09 Median $4.37 Typical High $12.02 | Professional | None | $3.09 | $4.37 | $12.02 |
Univera Setting Facility Modifier None Typical Low $4.79 Median $7.24 Typical High $12.02 | Facility | None | $4.79 | $7.24 | $12.02 |
Univera Setting Professional Modifier None Typical Low $4.79 Median $7.24 Typical High $9.33 | Professional | None | $4.79 | $7.24 | $9.33 |
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 $2.09 Median $2.09 Typical High $3.09 | Professional | 52 · Reduced service | $2.09 | $2.09 | $3.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.83 Median $0.83 Typical High $1.23 | Professional | 53 · Discontinued | $0.83 | $0.83 | $1.23 |
Where New York sits
The same service costs 4.3 times more in Kansas than in Kentucky. 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· 27th of 51
$6.76
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.