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 $11.22 Median $15.14 Typical High $54.95 | Facility | None | $11.22 | $15.14 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $15.14 | Professional | None | $11.22 | $11.22 | $15.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $46.77 | Facility | None | $17.78 | $17.78 | $46.77 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.91 Median $21.88 Typical High $47.86 | Professional | None | $8.91 | $21.88 | $47.86 |
CDPHP Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $46.77 Typical High $162.18 | Facility | None | $17.78 | $46.77 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $20.42 Typical High $51.29 | Professional | None | $12.59 | $20.42 | $51.29 |
Emblem Health Setting Facility Modifier None Typical Low $8.51 Median $17.78 Typical High $40.74 | Facility | None | $8.51 | $17.78 | $40.74 |
Emblem Health Setting Professional Modifier None Typical Low $12.59 Median $15.14 Typical High $23.44 | Professional | None | $12.59 | $15.14 | $23.44 |
Excellus BCBS Setting Professional Modifier None Typical Low $15.14 Median $17.78 Typical High $20.89 | Professional | None | $15.14 | $17.78 | $20.89 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $32.36 Typical High $257.04 | Facility | None | $13.80 | $32.36 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $14.45 Median $37.15 Typical High $39.81 | Professional | None | $14.45 | $37.15 | $39.81 |
United Setting Facility Modifier None Typical Low $16.22 Median $17.78 Typical High $22.39 | Facility | None | $16.22 | $17.78 | $22.39 |
United Setting Professional Modifier None Typical Low $8.13 Median $10.72 Typical High $27.54 | Professional | None | $8.13 | $10.72 | $27.54 |
Univera Setting Facility Modifier None Typical Low $10.47 Median $19.95 Typical High $58.88 | Facility | None | $10.47 | $19.95 | $58.88 |
Univera Setting Professional Modifier None Typical Low $10.72 Median $17.78 Typical High $20.89 | Professional | None | $10.72 | $17.78 | $20.89 |
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 $5.62 Median $5.62 Typical High $7.59 | Professional | 52 · Reduced service | $5.62 | $5.62 | $7.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.24 Typical High $3.09 | Professional | 53 · Discontinued | $2.24 | $2.24 | $3.09 |
Where New York sits
The same service costs 10.2 times more in Texas than in New Jersey. 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· 38th of 51
$17.78
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.