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 $17.38 Typical High $50.12 | Facility | None | $14.79 | $17.38 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $27.54 | Professional | None | $14.79 | $14.79 | $27.54 |
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 $33.11 Typical High $77.62 | Professional | None | $15.85 | $33.11 | $77.62 |
Emblem Health Setting Facility Modifier None Typical Low $19.05 Median $26.30 Typical High $44.67 | Facility | None | $19.05 | $26.30 | $44.67 |
Emblem Health Setting Professional Modifier None Typical Low $14.13 Median $16.98 Typical High $26.92 | Professional | None | $14.13 | $16.98 | $26.92 |
Excellus BCBS Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Facility | None | $14.13 | $14.13 | $14.13 |
Excellus BCBS Setting Professional Modifier None Typical Low $14.13 Median $19.05 Typical High $22.39 | Professional | None | $14.13 | $19.05 | $22.39 |
Highmark BCBS Setting Facility Modifier None Typical Low $16.22 Median $32.36 Typical High $95.50 | Facility | None | $16.22 | $32.36 | $95.50 |
Highmark BCBS Setting Professional Modifier None Typical Low $12.02 Median $13.49 Typical High $13.49 | Professional | None | $12.02 | $13.49 | $13.49 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $30.20 Typical High $257.04 | Facility | None | $13.80 | $30.20 | $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 $30.90 | Professional | None | $8.51 | $12.02 | $30.90 |
Univera Setting Facility Modifier None Typical Low $13.18 Median $14.13 Typical High $48.98 | Facility | None | $13.18 | $14.13 | $48.98 |
Univera Setting Professional Modifier None Typical Low $14.13 Median $19.05 Typical High $21.88 | Professional | None | $14.13 | $19.05 | $21.88 |
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 $9.12 | Professional | 52 · Reduced service | $7.41 | $7.41 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $2.95 Typical High $3.63 | Professional | 53 · Discontinued | $2.95 | $2.95 | $3.63 |
Where New York sits
The same service costs 4.3 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· 37th 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.