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 $7.08 Median $13.18 Typical High $38.90 | Facility | None | $7.08 | $13.18 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $13.18 | Professional | None | $6.46 | $6.46 | $13.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $40.74 | Facility | None | $15.49 | $15.49 | $40.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.31 Median $9.55 Typical High $31.62 | Professional | None | $6.31 | $9.55 | $31.62 |
CDPHP Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | None | $15.49 | $15.49 | $15.49 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $33.88 Typical High $95.50 | Facility | None | $15.14 | $33.88 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $17.78 Typical High $81.28 | Professional | None | $9.33 | $17.78 | $81.28 |
Emblem Health Setting Facility Modifier None Typical Low $8.51 Median $15.49 Typical High $35.48 | Facility | None | $8.51 | $15.49 | $35.48 |
Emblem Health Setting Professional Modifier None Typical Low $7.41 Median $10.96 Typical High $30.20 | Professional | None | $7.41 | $10.96 | $30.20 |
Excellus BCBS Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
Excellus BCBS Setting Professional Modifier None Typical Low $10.23 Median $15.49 Typical High $17.38 | Professional | None | $10.23 | $15.49 | $17.38 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $28.18 Typical High $257.04 | Facility | None | $13.80 | $28.18 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $32.36 | Professional | None | $9.33 | $9.33 | $32.36 |
United Setting Facility Modifier None Typical Low $14.13 Median $15.49 Typical High $19.50 | Facility | None | $14.13 | $15.49 | $19.50 |
United Setting Professional Modifier None Typical Low $6.61 Median $9.12 Typical High $23.44 | Professional | None | $6.61 | $9.12 | $23.44 |
Univera Setting Facility Modifier None Typical Low $10.23 Median $15.49 Typical High $28.84 | Facility | None | $10.23 | $15.49 | $28.84 |
Univera Setting Professional Modifier None Typical Low $10.23 Median $15.49 Typical High $19.95 | Professional | None | $10.23 | $15.49 | $19.95 |
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 $6.61 | Professional | 52 · Reduced service | $3.24 | $3.24 | $6.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $1.29 Typical High $2.63 | Professional | 53 · Discontinued | $1.29 | $1.29 | $2.63 |
Where New York sits
The same service costs 3.6 times more in Kansas than in Nebraska. 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· 31st of 51
$13.18
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.