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 $3.16 Median $3.98 Typical High $12.02 | Facility | None | $3.16 | $3.98 | $12.02 |
Aetna Setting Professional Modifier None Typical Low $3.16 Median $3.16 Typical High $4.27 | Professional | None | $3.16 | $3.16 | $4.27 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.68 Median $4.68 Typical High $12.30 | Facility | None | $4.68 | $4.68 | $12.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.09 Median $3.47 Typical High $11.48 | Professional | None | $2.09 | $3.47 | $11.48 |
CDPHP Setting Professional Modifier None Typical Low $4.68 Median $4.68 Typical High $4.68 | Professional | None | $4.68 | $4.68 | $4.68 |
Cigna Setting Facility Modifier None Typical Low $4.57 Median $10.47 Typical High $46.77 | Facility | None | $4.57 | $10.47 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $3.31 Median $6.46 Typical High $41.69 | Professional | None | $3.31 | $6.46 | $41.69 |
Emblem Health Setting Facility Modifier None Typical Low $3.02 Median $4.90 Typical High $10.72 | Facility | None | $3.02 | $4.90 | $10.72 |
Emblem Health Setting Professional Modifier None Typical Low $2.24 Median $2.82 Typical High $9.12 | Professional | None | $2.24 | $2.82 | $9.12 |
Excellus BCBS Setting Facility Modifier None Typical Low $2.82 Median $2.82 Typical High $2.82 | Facility | None | $2.82 | $2.82 | $2.82 |
Excellus BCBS Setting Professional Modifier None Typical Low $2.51 Median $3.63 Typical High $5.25 | Professional | None | $2.51 | $3.63 | $5.25 |
Highmark BCBS Setting Facility Modifier None Typical Low $3.72 Median $4.68 Typical High $14.45 | Facility | None | $3.72 | $4.68 | $14.45 |
MVP Health Care Setting Facility Modifier None Typical Low $3.63 Median $9.33 Typical High $257.04 | Facility | None | $3.63 | $9.33 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $9.77 | Professional | None | $3.80 | $3.80 | $9.77 |
United Setting Facility Modifier None Typical Low $4.27 Median $4.68 Typical High $10.47 | Facility | None | $4.27 | $4.68 | $10.47 |
United Setting Professional Modifier None Typical Low $2.00 Median $2.88 Typical High $7.08 | Professional | None | $2.00 | $2.88 | $7.08 |
Univera Setting Facility Modifier None Typical Low $2.82 Median $2.82 Typical High $6.61 | Facility | None | $2.82 | $2.82 | $6.61 |
Univera Setting Professional Modifier None Typical Low $2.51 Median $3.63 Typical High $5.25 | Professional | None | $2.51 | $3.63 | $5.25 |
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 $1.58 Median $1.58 Typical High $2.00 | Professional | 52 · Reduced service | $1.58 | $1.58 | $2.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.65 Median $0.65 Typical High $0.79 | Professional | 53 · Discontinued | $0.65 | $0.65 | $0.79 |
Where New York sits
The same service costs 4.0 times more in Alaska than in Maryland. 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· 45th of 51
$3.80
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.