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 $14.79 Median $19.05 Typical High $61.66 | Facility | None | $14.79 | $19.05 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $17.38 | Professional | None | $14.79 | $14.79 | $17.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $52.48 | Facility | None | $19.95 | $19.95 | $52.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.00 Median $19.95 Typical High $56.23 | Professional | None | $10.00 | $19.95 | $56.23 |
CDPHP Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $23.99 Median $51.29 Typical High $218.78 | Facility | None | $23.99 | $51.29 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $15.85 Median $26.92 Typical High $74.13 | Professional | None | $15.85 | $26.92 | $74.13 |
Emblem Health Setting Facility Modifier None Typical Low $13.18 Median $22.91 Typical High $44.67 | Facility | None | $13.18 | $22.91 | $44.67 |
Emblem Health Setting Professional Modifier None Typical Low $14.13 Median $16.98 Typical High $28.84 | Professional | None | $14.13 | $16.98 | $28.84 |
Excellus BCBS Setting Professional Modifier None Typical Low $16.98 Median $19.95 Typical High $26.30 | Professional | None | $16.98 | $19.95 | $26.30 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $36.31 Typical High $257.04 | Facility | None | $13.80 | $36.31 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $16.22 Median $23.44 Typical High $41.69 | Professional | None | $16.22 | $23.44 | $41.69 |
United Setting Facility Modifier None Typical Low $18.20 Median $19.95 Typical High $25.12 | Facility | None | $18.20 | $19.95 | $25.12 |
United Setting Professional Modifier None Typical Low $8.51 Median $12.02 Typical High $31.62 | Professional | None | $8.51 | $12.02 | $31.62 |
Univera Setting Facility Modifier None Typical Low $13.18 Median $22.91 Typical High $75.86 | Facility | None | $13.18 | $22.91 | $75.86 |
Univera Setting Professional Modifier None Typical Low $13.18 Median $19.95 Typical High $22.39 | Professional | None | $13.18 | $19.95 | $22.39 |
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 $7.41 Median $7.41 Typical High $8.71 | Professional | 52 · Reduced service | $7.41 | $7.41 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $2.95 Typical High $3.47 | Professional | 53 · Discontinued | $2.95 | $2.95 | $3.47 |
Where New York sits
The same service costs 5.5 times more in Texas 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· 36th of 51
$19.05
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.