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 $12.30 Typical High $48.98 | Facility | None | $7.76 | $12.30 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $13.49 | Professional | None | $7.76 | $7.76 | $13.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $47.86 | Facility | None | $18.62 | $18.62 | $47.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.03 Median $15.85 Typical High $35.48 | Professional | None | $6.03 | $15.85 | $35.48 |
CDPHP Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $38.90 Typical High $114.82 | Facility | None | $17.78 | $38.90 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $9.12 Typical High $42.66 | Professional | None | $7.08 | $9.12 | $42.66 |
Emblem Health Setting Facility Modifier None Typical Low $15.14 Median $22.91 Typical High $41.69 | Facility | None | $15.14 | $22.91 | $41.69 |
Emblem Health Setting Professional Modifier None Typical Low $12.88 Median $15.49 Typical High $24.55 | Professional | None | $12.88 | $15.49 | $24.55 |
Excellus BCBS Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
Excellus BCBS Setting Professional Modifier None Typical Low $14.79 Median $18.62 Typical High $20.89 | Professional | None | $14.79 | $18.62 | $20.89 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $31.62 Typical High $257.04 | Facility | None | $13.80 | $31.62 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $9.55 Median $15.14 Typical High $30.90 | Professional | None | $9.55 | $15.14 | $30.90 |
United Setting Facility Modifier None Typical Low $16.60 Median $18.62 Typical High $23.44 | Facility | None | $16.60 | $18.62 | $23.44 |
United Setting Professional Modifier None Typical Low $6.76 Median $9.12 Typical High $23.44 | Professional | None | $6.76 | $9.12 | $23.44 |
Univera Setting Facility Modifier None Typical Low $10.72 Median $14.79 Typical High $29.51 | Facility | None | $10.72 | $14.79 | $29.51 |
Univera Setting Professional Modifier None Typical Low $14.79 Median $18.62 Typical High $19.05 | Professional | None | $14.79 | $18.62 | $19.05 |
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 $6.76 | Professional | 52 · Reduced service | $3.89 | $3.89 | $6.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.58 Median $1.58 Typical High $2.69 | Professional | 53 · Discontinued | $1.58 | $1.58 | $2.69 |
Where New York sits
The same service costs 4.9 times more in Alaska 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· 41st of 51
$15.14
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.