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 $12.88 Typical High $48.98 | Facility | None | $6.46 | $12.88 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $10.96 Typical High $14.13 | Professional | None | $6.46 | $10.96 | $14.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $41.69 | Facility | None | $16.22 | $16.22 | $41.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.46 Median $9.77 Typical High $33.11 | Professional | None | $6.46 | $9.77 | $33.11 |
CDPHP Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | None | $16.22 | $16.22 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $34.67 Typical High $95.50 | Facility | None | $15.85 | $34.67 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $18.62 Typical High $81.28 | Professional | None | $9.55 | $18.62 | $81.28 |
Emblem Health Setting Facility Modifier None Typical Low $8.51 Median $16.22 Typical High $36.31 | Facility | None | $8.51 | $16.22 | $36.31 |
Emblem Health Setting Professional Modifier None Typical Low $7.59 Median $11.22 Typical High $30.90 | Professional | None | $7.59 | $11.22 | $30.90 |
Excellus BCBS Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
Excellus BCBS Setting Professional Modifier None Typical Low $10.23 Median $15.14 Typical High $18.20 | Professional | None | $10.23 | $15.14 | $18.20 |
Highmark BCBS Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Facility | None | $14.13 | $14.13 | $14.13 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $28.84 Typical High $257.04 | Facility | None | $13.80 | $28.84 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $33.11 | Professional | None | $9.33 | $9.33 | $33.11 |
United Setting Facility Modifier None Typical Low $14.45 Median $16.22 Typical High $19.95 | Facility | None | $14.45 | $16.22 | $19.95 |
United Setting Professional Modifier None Typical Low $6.76 Median $9.33 Typical High $23.99 | Professional | None | $6.76 | $9.33 | $23.99 |
Univera Setting Facility Modifier None Typical Low $10.47 Median $14.79 Typical High $28.84 | Facility | None | $10.47 | $14.79 | $28.84 |
Univera Setting Professional Modifier None Typical Low $10.23 Median $15.14 Typical High $18.62 | Professional | None | $10.23 | $15.14 | $18.62 |
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 $6.76 | Professional | 52 · Reduced service | $3.24 | $3.24 | $6.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $1.29 Typical High $2.75 | Professional | 53 · Discontinued | $1.29 | $1.29 | $2.75 |
Where New York sits
The same service costs 3.5 times more in Alaska 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· 29th of 51
$13.80
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.