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 $25.12 Median $38.90 Typical High $100.00 | Facility | None | $25.12 | $38.90 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $40.74 | Professional | None | $32.36 | $32.36 | $40.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $29.51 Median $34.67 Typical High $38.02 | Professional | None | $29.51 | $34.67 | $38.02 |
CDPHP Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $66.07 Typical High $66.07 | Facility | None | $40.74 | $66.07 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $42.66 Typical High $45.71 | Professional | None | $36.31 | $42.66 | $45.71 |
Emblem Health Setting Facility Modifier None Typical Low $3.98 Median $46.77 Typical High $169.82 | Facility | None | $3.98 | $46.77 | $169.82 |
Emblem Health Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $67.61 | Professional | None | $51.29 | $51.29 | $67.61 |
Excellus BCBS Setting Professional Modifier None Typical Low $30.20 Median $31.62 Typical High $47.86 | Professional | None | $30.20 | $31.62 | $47.86 |
MVP Health Care Setting Professional Modifier None Typical Low $25.12 Median $28.84 Typical High $48.98 | Professional | None | $25.12 | $28.84 | $48.98 |
United Setting Facility Modifier None Typical Low $75.86 Median $87.10 Typical High $107.15 | Facility | None | $75.86 | $87.10 | $107.15 |
United Setting Professional Modifier None Typical Low $23.44 Median $34.67 Typical High $41.69 | Professional | None | $23.44 | $34.67 | $41.69 |
Univera Setting Facility Modifier None Typical Low $36.31 Median $47.86 Typical High $114.82 | Facility | None | $36.31 | $47.86 | $114.82 |
Univera Setting Professional Modifier None Typical Low $25.12 Median $31.62 Typical High $45.71 | Professional | None | $25.12 | $31.62 | $45.71 |
3 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 $16.22 Median $16.22 Typical High $20.42 | Professional | 52 · Reduced service | $16.22 | $16.22 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $8.32 | Professional | 53 · Discontinued | $6.46 | $6.46 | $8.32 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $33.11 Typical High $43.65 | Professional | 53 · Discontinued | $17.38 | $33.11 | $43.65 |
Where New York sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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· 37th of 51
$34.67
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.