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 $25.12 Typical High $91.20 | Facility | None | $14.79 | $25.12 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $25.12 | Professional | None | $14.79 | $14.79 | $25.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $77.62 | Facility | None | $29.51 | $29.51 | $77.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.02 Median $28.18 Typical High $67.61 | Professional | None | $12.02 | $28.18 | $67.61 |
CDPHP Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None | $29.51 | $29.51 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $74.13 Typical High $218.78 | Facility | None | $28.84 | $74.13 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $26.92 Typical High $97.72 | Professional | None | $18.20 | $26.92 | $97.72 |
Emblem Health Setting Facility Modifier None Typical Low $13.18 Median $29.51 Typical High $67.61 | Facility | None | $13.18 | $29.51 | $67.61 |
Emblem Health Setting Professional Modifier None Typical Low $20.89 Median $25.12 Typical High $43.65 | Professional | None | $20.89 | $25.12 | $43.65 |
Excellus BCBS Setting Professional Modifier None Typical Low $20.89 Median $29.51 Typical High $33.11 | Professional | None | $20.89 | $29.51 | $33.11 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $53.70 Typical High $257.04 | Facility | None | $13.80 | $53.70 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $19.50 Median $23.44 Typical High $61.66 | Professional | None | $19.50 | $23.44 | $61.66 |
United Setting Facility Modifier None Typical Low $26.92 Median $29.51 Typical High $37.15 | Facility | None | $26.92 | $29.51 | $37.15 |
United Setting Professional Modifier None Typical Low $12.59 Median $14.45 Typical High $47.86 | Professional | None | $12.59 | $14.45 | $47.86 |
Univera Setting Facility Modifier None Typical Low $19.50 Median $33.88 Typical High $87.10 | Facility | None | $19.50 | $33.88 | $87.10 |
Univera Setting Professional Modifier None Typical Low $19.50 Median $29.51 Typical High $33.11 | Professional | None | $19.50 | $29.51 | $33.11 |
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 $12.59 | Professional | 52 · Reduced service | $7.41 | $7.41 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $2.95 Typical High $5.13 | Professional | 53 · Discontinued | $2.95 | $2.95 | $5.13 |
Where New York sits
The same service costs 5.4 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· 34th of 51
$25.12
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.