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 $13.18 Median $18.62 Typical High $67.61 | Facility | None | $13.18 | $18.62 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $18.62 | Professional | None | $13.18 | $13.18 | $18.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $57.54 | Facility | None | $21.88 | $21.88 | $57.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.71 Median $15.85 Typical High $50.12 | Professional | None | $8.71 | $15.85 | $50.12 |
CDPHP Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | None | $21.88 | $21.88 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $50.12 Typical High $190.55 | Facility | None | $21.38 | $50.12 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $25.12 Typical High $104.71 | Professional | None | $13.18 | $25.12 | $104.71 |
Emblem Health Setting Facility Modifier None Typical Low $11.48 Median $21.88 Typical High $48.98 | Facility | None | $11.48 | $21.88 | $48.98 |
Emblem Health Setting Professional Modifier None Typical Low $10.23 Median $13.18 Typical High $42.66 | Professional | None | $10.23 | $13.18 | $42.66 |
Excellus BCBS Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
Excellus BCBS Setting Professional Modifier None Typical Low $14.45 Median $20.89 Typical High $23.99 | Professional | None | $14.45 | $20.89 | $23.99 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $39.81 Typical High $257.04 | Facility | None | $13.80 | $39.81 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $44.67 | Professional | None | $14.13 | $14.13 | $44.67 |
United Setting Facility Modifier None Typical Low $19.50 Median $21.88 Typical High $27.54 | Facility | None | $19.50 | $21.88 | $27.54 |
United Setting Professional Modifier None Typical Low $9.12 Median $13.18 Typical High $33.11 | Professional | None | $9.12 | $13.18 | $33.11 |
Univera Setting Facility Modifier None Typical Low $14.45 Median $19.95 Typical High $44.67 | Facility | None | $14.45 | $19.95 | $44.67 |
Univera Setting Professional Modifier None Typical Low $14.45 Median $20.89 Typical High $24.55 | Professional | None | $14.45 | $20.89 | $24.55 |
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 $6.61 Median $6.61 Typical High $9.33 | Professional | 52 · Reduced service | $6.61 | $6.61 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $2.63 Typical High $3.72 | Professional | 53 · Discontinued | $2.63 | $2.63 | $3.72 |
Where New York sits
The same service costs 4.7 times more in Alaska than in Alabama. 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
$18.62
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.