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 $10.23 Typical High $37.15 | Facility | None | $6.46 | $10.23 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $10.96 | Professional | None | $6.46 | $6.46 | $10.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $30.90 | Facility | None | $12.02 | $12.02 | $30.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.89 Median $9.12 Typical High $27.54 | Professional | None | $5.89 | $9.12 | $27.54 |
CDPHP Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | None | $12.02 | $12.02 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $11.75 Median $26.30 Typical High $95.50 | Facility | None | $11.75 | $26.30 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $8.32 Median $16.22 Typical High $81.28 | Professional | None | $8.32 | $16.22 | $81.28 |
Emblem Health Setting Facility Modifier None Typical Low $8.51 Median $14.45 Typical High $26.92 | Facility | None | $8.51 | $14.45 | $26.92 |
Emblem Health Setting Professional Modifier None Typical Low $5.62 Median $8.13 Typical High $23.44 | Professional | None | $5.62 | $8.13 | $23.44 |
Excellus BCBS Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Facility | None | $8.13 | $8.13 | $8.13 |
Excellus BCBS Setting Professional Modifier None Typical Low $8.13 Median $11.48 Typical High $13.49 | Professional | None | $8.13 | $11.48 | $13.49 |
MVP Health Care Setting Facility Modifier None Typical Low $12.02 Median $19.95 Typical High $257.04 | Facility | None | $12.02 | $19.95 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $24.55 | Professional | None | $9.33 | $9.33 | $24.55 |
United Setting Facility Modifier None Typical Low $10.72 Median $12.02 Typical High $15.14 | Facility | None | $10.72 | $12.02 | $15.14 |
United Setting Professional Modifier None Typical Low $5.01 Median $7.24 Typical High $17.78 | Professional | None | $5.01 | $7.24 | $17.78 |
Univera Setting Facility Modifier None Typical Low $7.94 Median $8.13 Typical High $28.84 | Facility | None | $7.94 | $8.13 | $28.84 |
Univera Setting Professional Modifier None Typical Low $7.94 Median $11.48 Typical High $13.49 | Professional | None | $7.94 | $11.48 | $13.49 |
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 $5.13 | Professional | 52 · Reduced service | $3.24 | $3.24 | $5.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $1.29 Typical High $2.04 | Professional | 53 · Discontinued | $1.29 | $1.29 | $2.04 |
Where New York sits
The same service costs 4.5 times more in Kansas 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· 36th of 51
$10.23
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.