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 $67.61 | Facility | None | $14.79 | $19.05 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $18.62 | Professional | None | $14.79 | $14.79 | $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 $10.00 Median $21.38 Typical High $56.23 | Professional | None | $10.00 | $21.38 | $56.23 |
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 $23.99 Median $56.23 Typical High $218.78 | Facility | None | $23.99 | $56.23 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $15.85 Median $26.92 Typical High $79.43 | Professional | None | $15.85 | $26.92 | $79.43 |
Emblem Health Setting Facility Modifier None Typical Low $13.18 Median $25.12 Typical High $48.98 | Facility | None | $13.18 | $25.12 | $48.98 |
Emblem Health Setting Professional Modifier None Typical Low $15.49 Median $18.62 Typical High $31.62 | Professional | None | $15.49 | $18.62 | $31.62 |
Excellus BCBS Setting Professional Modifier None Typical Low $18.62 Median $21.88 Typical High $26.30 | Professional | None | $18.62 | $21.88 | $26.30 |
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 $16.22 Median $23.44 Typical High $44.67 | Professional | None | $16.22 | $23.44 | $44.67 |
United Setting Facility Modifier None Typical Low $19.95 Median $21.88 Typical High $27.54 | Facility | None | $19.95 | $21.88 | $27.54 |
United Setting Professional Modifier None Typical Low $9.12 Median $13.18 Typical High $37.15 | Professional | None | $9.12 | $13.18 | $37.15 |
Univera Setting Facility Modifier None Typical Low $14.45 Median $25.12 Typical High $75.86 | Facility | None | $14.45 | $25.12 | $75.86 |
Univera Setting Professional Modifier None Typical Low $14.45 Median $21.88 Typical High $24.55 | Professional | None | $14.45 | $21.88 | $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 $7.41 Median $7.41 Typical High $9.33 | Professional | 52 · Reduced service | $7.41 | $7.41 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $2.95 Typical High $3.72 | Professional | 53 · Discontinued | $2.95 | $2.95 | $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· 31st of 51
$20.89
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.