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 $3.24 Median $4.79 Typical High $14.79 | Facility | None | $3.24 | $4.79 | $14.79 |
Aetna Setting Professional Modifier None Typical Low $3.24 Median $3.24 Typical High $5.01 | Professional | None | $3.24 | $3.24 | $5.01 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.89 Median $5.89 Typical High $15.14 | Facility | None | $5.89 | $5.89 | $15.14 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.34 Median $4.07 Typical High $13.18 | Professional | None | $2.34 | $4.07 | $13.18 |
CDPHP Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $5.89 | Professional | None | $5.89 | $5.89 | $5.89 |
Cigna Setting Facility Modifier None Typical Low $5.75 Median $12.59 Typical High $46.77 | Facility | None | $5.75 | $12.59 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $3.39 Median $6.61 Typical High $38.90 | Professional | None | $3.39 | $6.61 | $38.90 |
Emblem Health Setting Facility Modifier None Typical Low $4.47 Median $7.08 Typical High $13.18 | Facility | None | $4.47 | $7.08 | $13.18 |
Emblem Health Setting Professional Modifier None Typical Low $2.75 Median $3.55 Typical High $11.48 | Professional | None | $2.75 | $3.55 | $11.48 |
Excellus BCBS Setting Professional Modifier None Typical Low $3.89 Median $5.89 Typical High $7.08 | Professional | None | $3.89 | $5.89 | $7.08 |
Highmark BCBS Setting Facility Modifier None Typical Low $14.79 Median $15.49 Typical High $22.39 | Facility | None | $14.79 | $15.49 | $22.39 |
MVP Health Care Setting Facility Modifier None Typical Low $5.89 Median $13.80 Typical High $257.04 | Facility | None | $5.89 | $13.80 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $12.02 | Professional | None | $3.80 | $3.80 | $12.02 |
United Setting Facility Modifier None Typical Low $5.25 Median $5.89 Typical High $15.14 | Facility | None | $5.25 | $5.89 | $15.14 |
United Setting Professional Modifier None Typical Low $2.45 Median $3.55 Typical High $8.91 | Professional | None | $2.45 | $3.55 | $8.91 |
Univera Setting Facility Modifier None Typical Low $3.89 Median $6.76 Typical High $12.02 | Facility | None | $3.89 | $6.76 | $12.02 |
Univera Setting Professional Modifier None Typical Low $3.89 Median $5.89 Typical High $12.02 | Professional | None | $3.89 | $5.89 | $12.02 |
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 $2.51 | Professional | 52 · Reduced service | $1.58 | $1.58 | $2.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.65 Median $0.65 Typical High $1.00 | Professional | 53 · Discontinued | $0.65 | $0.65 | $1.00 |
Where New York sits
The same service costs 3.9 times more in Kansas than in Vermont. 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· 32nd of 51
$4.90
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.