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 $11.22 Typical High $41.69 | Facility | None | $6.46 | $11.22 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $11.48 | Professional | None | $6.46 | $6.46 | $11.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $35.48 | Facility | None | $13.49 | $13.49 | $35.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.89 Median $9.12 Typical High $28.84 | Professional | None | $5.89 | $9.12 | $28.84 |
CDPHP Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | None | $13.49 | $13.49 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $13.18 Median $29.51 Typical High $95.50 | Facility | None | $13.18 | $29.51 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $19.50 Typical High $79.43 | Professional | None | $8.91 | $19.50 | $79.43 |
Emblem Health Setting Facility Modifier None Typical Low $10.96 Median $16.60 Typical High $30.90 | Facility | None | $10.96 | $16.60 | $30.90 |
Emblem Health Setting Professional Modifier None Typical Low $6.46 Median $9.55 Typical High $26.30 | Professional | None | $6.46 | $9.55 | $26.30 |
Excellus BCBS Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Facility | None | $13.49 | $13.49 | $13.49 |
Excellus BCBS Setting Professional Modifier None Typical Low $10.00 Median $13.49 Typical High $15.14 | Professional | None | $10.00 | $13.49 | $15.14 |
Highmark BCBS Setting Facility Modifier None Typical Low $12.59 Median $16.60 Typical High $57.54 | Facility | None | $12.59 | $16.60 | $57.54 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $24.55 Typical High $257.04 | Facility | None | $13.80 | $24.55 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $28.18 | Professional | None | $9.33 | $9.33 | $28.18 |
United Setting Facility Modifier None Typical Low $12.30 Median $13.49 Typical High $16.98 | Facility | None | $12.30 | $13.49 | $16.98 |
United Setting Professional Modifier None Typical Low $5.75 Median $8.13 Typical High $20.42 | Professional | None | $5.75 | $8.13 | $20.42 |
Univera Setting Facility Modifier None Typical Low $8.91 Median $13.49 Typical High $27.54 | Facility | None | $8.91 | $13.49 | $27.54 |
Univera Setting Professional Modifier None Typical Low $8.91 Median $13.49 Typical High $17.38 | Professional | None | $8.91 | $13.49 | $17.38 |
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 $5.75 | Professional | 52 · Reduced service | $3.24 | $3.24 | $5.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $1.29 Typical High $2.29 | Professional | 53 · Discontinued | $1.29 | $1.29 | $2.29 |
Where New York sits
The same service costs 4.6 times more in Vermont 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· 32nd of 51
$12.30
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.