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 $16.98 Median $22.39 Typical High $81.28 | Facility | None | $16.98 | $22.39 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $22.39 | Professional | None | $16.98 | $16.98 | $22.39 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.85 Median $26.30 Typical High $67.61 | Facility | None | $15.85 | $26.30 | $67.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.88 Median $28.84 Typical High $66.07 | Professional | None | $12.88 | $28.84 | $66.07 |
CDPHP Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $26.30 | Professional | None | $25.70 | $25.70 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $66.07 Typical High $245.47 | Facility | None | $26.92 | $66.07 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $30.90 Typical High $104.71 | Professional | None | $28.84 | $30.90 | $104.71 |
Emblem Health Setting Facility Modifier None Typical Low $15.14 Median $26.30 Typical High $58.88 | Facility | None | $15.14 | $26.30 | $58.88 |
Emblem Health Setting Professional Modifier None Typical Low $18.20 Median $22.39 Typical High $34.67 | Professional | None | $18.20 | $22.39 | $34.67 |
Excellus BCBS Setting Professional Modifier None Typical Low $22.39 Median $26.30 Typical High $39.81 | Professional | None | $22.39 | $26.30 | $39.81 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $46.77 Typical High $257.04 | Facility | None | $13.80 | $46.77 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $18.20 Median $22.39 Typical High $53.70 | Professional | None | $18.20 | $22.39 | $53.70 |
United Setting Professional Modifier None Typical Low $11.75 Median $15.85 Typical High $39.81 | Professional | None | $11.75 | $15.85 | $39.81 |
Univera Setting Facility Modifier None Typical Low $15.49 Median $28.84 Typical High $79.43 | Facility | None | $15.49 | $28.84 | $79.43 |
Univera Setting Professional Modifier None Typical Low $15.85 Median $26.30 Typical High $38.90 | Professional | None | $15.85 | $26.30 | $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 $8.51 Median $8.51 Typical High $11.22 | Professional | 52 · Reduced service | $8.51 | $8.51 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.39 Typical High $4.47 | Professional | 53 · Discontinued | $3.39 | $3.39 | $4.47 |
Where New York sits
The same service costs 3.8 times more in Alaska than in Florida. 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· 43rd of 51
$25.70
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.