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 $7.76 Median $39.81 Typical High $154.88 | Facility | None | $7.76 | $39.81 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $42.66 | Professional | None | $7.76 | $7.76 | $42.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $131.83 | Facility | None | $50.12 | $50.12 | $131.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $20.42 Median $35.48 Typical High $102.33 | Professional | None | $20.42 | $35.48 | $102.33 |
CDPHP Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $107.15 Typical High $131.83 | Facility | None | $48.98 | $107.15 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $14.79 Typical High $114.82 | Professional | None | $12.88 | $14.79 | $114.82 |
Emblem Health Setting Facility Modifier None Typical Low $38.02 Median $60.26 Typical High $114.82 | Facility | None | $38.02 | $60.26 | $114.82 |
Emblem Health Setting Professional Modifier None Typical Low $30.20 Median $41.69 Typical High $66.07 | Professional | None | $30.20 | $41.69 | $66.07 |
Excellus BCBS Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
Excellus BCBS Setting Professional Modifier None Typical Low $19.95 Median $47.86 Typical High $57.54 | Professional | None | $19.95 | $47.86 | $57.54 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $66.07 Typical High $257.04 | Facility | None | $13.80 | $66.07 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $18.62 Median $21.38 Typical High $104.71 | Professional | None | $18.62 | $21.38 | $104.71 |
United Setting Facility Modifier None Typical Low $45.71 Median $50.12 Typical High $63.10 | Facility | None | $45.71 | $50.12 | $63.10 |
United Setting Professional Modifier None Typical Low $22.39 Median $30.20 Typical High $74.13 | Professional | None | $22.39 | $30.20 | $74.13 |
Univera Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $56.23 | Facility | None | $15.49 | $15.49 | $56.23 |
Univera Setting Professional Modifier None Typical Low $15.49 Median $47.86 Typical High $52.48 | Professional | None | $15.49 | $47.86 | $52.48 |
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 $3.89 Median $3.89 Typical High $21.38 | Professional | 52 · Reduced service | $3.89 | $3.89 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.58 Median $1.58 Typical High $8.51 | Professional | 53 · Discontinued | $1.58 | $1.58 | $8.51 |
Where New York sits
The same service costs 10.2 times more in Alaska than in Kentucky. 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· 44th of 51
$30.20
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.