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 $8.91 Median $10.47 Typical High $38.02 | Facility | None | $8.91 | $10.47 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $8.91 Median $10.47 Typical High $19.50 | Professional | None | $8.91 | $10.47 | $19.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $32.36 | Facility | None | $12.30 | $12.30 | $32.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.89 Median $9.33 Typical High $34.67 | Professional | None | $5.89 | $9.33 | $34.67 |
CDPHP Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | None | $12.30 | $12.30 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $26.30 Typical High $131.83 | Facility | None | $12.02 | $26.30 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $17.38 Typical High $128.82 | Professional | None | $8.51 | $17.38 | $128.82 |
Emblem Health Setting Facility Modifier None Typical Low $7.59 Median $14.13 Typical High $27.54 | Facility | None | $7.59 | $14.13 | $27.54 |
Emblem Health Setting Professional Modifier None Typical Low $7.24 Median $11.75 Typical High $23.44 | Professional | None | $7.24 | $11.75 | $23.44 |
Excellus BCBS Setting Professional Modifier None Typical Low $8.13 Median $12.30 Typical High $19.05 | Professional | None | $8.13 | $12.30 | $19.05 |
Highmark BCBS Setting Facility Modifier None Typical Low $8.13 Median $13.49 Typical High $44.67 | Facility | None | $8.13 | $13.49 | $44.67 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $22.39 Typical High $257.04 | Facility | None | $13.80 | $22.39 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $50.12 | Professional | None | $9.77 | $9.77 | $50.12 |
United Setting Facility Modifier None Typical Low $10.96 Median $12.30 Typical High $60.26 | Facility | None | $10.96 | $12.30 | $60.26 |
United Setting Professional Modifier None Typical Low $5.50 Median $8.32 Typical High $18.62 | Professional | None | $5.50 | $8.32 | $18.62 |
Univera Setting Facility Modifier None Typical Low $8.13 Median $14.13 Typical High $43.65 | Facility | None | $8.13 | $14.13 | $43.65 |
Univera Setting Professional Modifier None Typical Low $8.13 Median $12.30 Typical High $20.89 | Professional | None | $8.13 | $12.30 | $20.89 |
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 $4.47 Median $4.47 Typical High $5.25 | Professional | 52 · Reduced service | $4.47 | $4.47 | $5.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.78 Median $1.78 Typical High $2.09 | Professional | 53 · Discontinued | $1.78 | $1.78 | $2.09 |
Where New York sits
The same service costs 3.5 times more in Kansas than in Georgia. 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
$11.75
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.