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 $19.50 Median $28.84 Typical High $120.23 | Facility | None | $19.50 | $28.84 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $40.74 | Professional | None | $18.62 | $18.62 | $40.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $87.10 | Facility | None | $33.11 | $33.11 | $87.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.13 Median $31.62 Typical High $77.62 | Professional | None | $14.13 | $31.62 | $77.62 |
CDPHP Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $83.18 Typical High $269.15 | Facility | None | $32.36 | $83.18 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $33.88 Typical High $120.23 | Professional | None | $20.42 | $33.88 | $120.23 |
Emblem Health Setting Facility Modifier None Typical Low $19.50 Median $33.11 Typical High $75.86 | Facility | None | $19.50 | $33.11 | $75.86 |
Emblem Health Setting Professional Modifier None Typical Low $19.95 Median $28.18 Typical High $48.98 | Professional | None | $19.95 | $28.18 | $48.98 |
Excellus BCBS Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Facility | None | $10.00 | $10.00 | $10.00 |
Excellus BCBS Setting Professional Modifier None Typical Low $12.88 Median $31.62 Typical High $38.90 | Professional | None | $12.88 | $31.62 | $38.90 |
Highmark BCBS Setting Facility Modifier None Typical Low $52.48 Median $93.33 Typical High $117.49 | Facility | None | $52.48 | $93.33 | $117.49 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $43.65 Typical High $257.04 | Facility | None | $13.80 | $43.65 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $21.88 Median $64.57 Typical High $69.18 | Professional | None | $21.88 | $64.57 | $69.18 |
United Setting Facility Modifier None Typical Low $30.20 Median $33.11 Typical High $41.69 | Facility | None | $30.20 | $33.11 | $41.69 |
United Setting Professional Modifier None Typical Low $15.14 Median $19.95 Typical High $56.23 | Professional | None | $15.14 | $19.95 | $56.23 |
Univera Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $69.18 | Facility | None | $10.00 | $10.00 | $69.18 |
Univera Setting Professional Modifier None Typical Low $10.72 Median $31.62 Typical High $38.90 | Professional | None | $10.72 | $31.62 | $38.90 |
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 $9.33 Median $9.33 Typical High $14.13 | Professional | 52 · Reduced service | $9.33 | $9.33 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $3.72 Typical High $5.75 | Professional | 53 · Discontinued | $3.72 | $3.72 | $5.75 |
Where New York sits
The same service costs 5.6 times more in Kansas 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· 40th of 51
$29.51
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.