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 $7.76 Median $10.47 Typical High $10.47 | Facility | None | $7.76 | $10.47 | $10.47 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $21.88 | Professional | None | $10.47 | $10.47 | $21.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $363.08 | Professional | None | $25.12 | $25.12 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $67.61 Typical High $97.72 | Facility | None | $47.86 | $67.61 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $23.99 Typical High $81.28 | Professional | None | $19.05 | $23.99 | $81.28 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $19.95 Typical High $257.04 | Facility | None | $13.80 | $19.95 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None | $199.53 | $199.53 | $199.53 |
United Setting Facility Modifier None Typical Low $104.71 Median $123.03 Typical High $151.36 | Facility | None | $104.71 | $123.03 | $151.36 |
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 $5.25 Median $5.25 Typical High $5.25 | Professional | 52 · Reduced service | $5.25 | $5.25 | $5.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | 53 · Discontinued | $2.14 | $2.14 | $2.14 |
Where New York sits
The same service costs 18.6 times more in Hawaii than in North Carolina. 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· 36th of 51
$25.12
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.