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 $21.38 Median $30.20 Typical High $107.15 | Facility | None | $21.38 | $30.20 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $35.48 | Professional | None | $21.38 | $21.38 | $35.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $91.20 | Facility | None | $34.67 | $34.67 | $91.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $18.20 Median $33.88 Typical High $95.50 | Professional | None | $18.20 | $33.88 | $95.50 |
CDPHP Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $89.13 Typical High $316.23 | Facility | None | $38.02 | $89.13 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $50.12 Typical High $165.96 | Professional | None | $21.88 | $50.12 | $165.96 |
Emblem Health Setting Facility Modifier None Typical Low $22.91 Median $37.15 Typical High $77.62 | Facility | None | $22.91 | $37.15 | $77.62 |
Emblem Health Setting Professional Modifier None Typical Low $24.55 Median $29.51 Typical High $50.12 | Professional | None | $24.55 | $29.51 | $50.12 |
Excellus BCBS Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Excellus BCBS Setting Professional Modifier None Typical Low $29.51 Median $34.67 Typical High $44.67 | Professional | None | $29.51 | $34.67 | $44.67 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $63.10 Typical High $257.04 | Facility | None | $13.80 | $63.10 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $25.70 Median $72.44 Typical High $251.19 | Professional | None | $25.70 | $72.44 | $251.19 |
United Setting Facility Modifier None Typical Low $31.62 Median $34.67 Typical High $43.65 | Facility | None | $31.62 | $34.67 | $43.65 |
United Setting Professional Modifier None Typical Low $15.49 Median $20.89 Typical High $64.57 | Professional | None | $15.49 | $20.89 | $64.57 |
Univera Setting Facility Modifier None Typical Low $20.42 Median $34.67 Typical High $70.79 | Facility | None | $20.42 | $34.67 | $70.79 |
Univera Setting Professional Modifier None Typical Low $29.51 Median $34.67 Typical High $44.67 | Professional | None | $29.51 | $34.67 | $44.67 |
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 $10.72 Median $10.72 Typical High $15.14 | Professional | 52 · Reduced service | $10.72 | $10.72 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.27 Typical High $6.03 | Professional | 53 · Discontinued | $4.27 | $4.27 | $6.03 |
Where New York sits
The same service costs 4.6 times more in Kentucky 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· 36th of 51
$34.67
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.