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 $22.91 Typical High $67.61 | Facility | None | $14.79 | $22.91 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $22.91 | Professional | None | $14.79 | $14.79 | $22.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $69.18 | Facility | None | $26.92 | $26.92 | $69.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.72 Median $25.70 Typical High $61.66 | Professional | None | $10.72 | $25.70 | $61.66 |
CDPHP Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $67.61 Typical High $218.78 | Facility | None | $26.30 | $67.61 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $16.60 Median $26.92 Typical High $97.72 | Professional | None | $16.60 | $26.92 | $97.72 |
Emblem Health Setting Facility Modifier None Typical Low $13.18 Median $26.92 Typical High $60.26 | Facility | None | $13.18 | $26.92 | $60.26 |
Emblem Health Setting Professional Modifier None Typical Low $18.62 Median $22.91 Typical High $38.90 | Professional | None | $18.62 | $22.91 | $38.90 |
Excellus BCBS Setting Professional Modifier None Typical Low $20.89 Median $26.92 Typical High $30.20 | Professional | None | $20.89 | $26.92 | $30.20 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $47.86 Typical High $257.04 | Facility | None | $13.80 | $47.86 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $17.38 Median $23.44 Typical High $54.95 | Professional | None | $17.38 | $23.44 | $54.95 |
United Setting Facility Modifier None Typical Low $23.99 Median $26.92 Typical High $33.88 | Facility | None | $23.99 | $26.92 | $33.88 |
United Setting Professional Modifier None Typical Low $11.22 Median $14.13 Typical High $40.74 | Professional | None | $11.22 | $14.13 | $40.74 |
Univera Setting Facility Modifier None Typical Low $17.78 Median $30.90 Typical High $87.10 | Facility | None | $17.78 | $30.90 | $87.10 |
Univera Setting Professional Modifier None Typical Low $17.78 Median $26.92 Typical High $29.51 | Professional | None | $17.78 | $26.92 | $29.51 |
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 $11.48 | Professional | 52 · Reduced service | $7.41 | $7.41 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $2.95 Typical High $4.57 | Professional | 53 · Discontinued | $2.95 | $2.95 | $4.57 |
Where New York sits
The same service costs 5.4 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
$23.44
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.