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 $47.86 Typical High $186.21 | Facility | None | $6.46 | $47.86 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $51.29 | Professional | None | $6.46 | $6.46 | $51.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $158.49 | Facility | None | $60.26 | $60.26 | $158.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.76 Median $24.55 Typical High $93.33 | Professional | None | $7.76 | $24.55 | $93.33 |
CDPHP Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $128.82 Typical High $158.49 | Facility | None | $54.95 | $128.82 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $36.31 Typical High $295.12 | Professional | None | $9.55 | $36.31 | $295.12 |
Emblem Health Setting Facility Modifier None Typical Low $10.00 Median $60.26 Typical High $138.04 | Facility | None | $10.00 | $60.26 | $138.04 |
Emblem Health Setting Professional Modifier None Typical Low $24.55 Median $36.31 Typical High $117.49 | Professional | None | $24.55 | $36.31 | $117.49 |
Excellus BCBS Setting Professional Modifier None Typical Low $11.48 Median $51.29 Typical High $67.61 | Professional | None | $11.48 | $51.29 | $67.61 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $109.65 Typical High $257.04 | Facility | None | $13.80 | $109.65 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $125.89 | Professional | None | $10.23 | $10.23 | $125.89 |
United Setting Facility Modifier None Typical Low $54.95 Median $60.26 Typical High $75.86 | Facility | None | $54.95 | $60.26 | $75.86 |
United Setting Professional Modifier None Typical Low $15.49 Median $27.54 Typical High $89.13 | Professional | None | $15.49 | $27.54 | $89.13 |
Univera Setting Facility Modifier None Typical Low $27.54 Median $39.81 Typical High $69.18 | Facility | None | $27.54 | $39.81 | $69.18 |
Univera Setting Professional Modifier None Typical Low $12.02 Median $39.81 Typical High $67.61 | Professional | None | $12.02 | $39.81 | $67.61 |
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 $25.70 | Professional | 52 · Reduced service | $3.24 | $3.24 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $1.29 Typical High $10.23 | Professional | 53 · Discontinued | $1.29 | $1.29 | $10.23 |
Where New York sits
The same service costs 9.1 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· 43rd of 51
$27.54
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.