How much rates vary
Facilitymedian $10 · 10th to 90th $8 to $38Professionalmedian $9 · 10th to 90th $7 to $14
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 $8.13 Median $9.55 Typical High $13.49 | Facility | None | $8.13 | $9.55 | $13.49 |
Aetna Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $11.48 | Professional | None | $7.24 | $7.24 | $11.48 |
Ambetter Setting Professional Modifier None Typical Low $7.94 Median $8.51 Typical High $14.79 | Professional | None | $7.94 | $8.51 | $14.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.08 Median $8.71 Typical High $9.77 | Professional | None | $7.08 | $8.71 | $9.77 |
CDPHP Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | None | $11.75 | $11.75 | $11.75 |
Cigna Setting Facility Modifier None Typical Low $10.47 Median $14.13 Typical High $48.98 | Facility | None | $10.47 | $14.13 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $8.13 Typical High $21.88 | Professional | None | $7.94 | $8.13 | $21.88 |
Emblem Health Setting Facility Modifier None Typical Low $0.10 Median $9.55 Typical High $38.02 | Facility | None | $0.10 | $9.55 | $38.02 |
Emblem Health Setting Professional Modifier None Typical Low $7.59 Median $8.91 Typical High $9.77 | Professional | None | $7.59 | $8.91 | $9.77 |
Excellus BCBS Setting Professional Modifier None Typical Low $6.31 Median $7.59 Typical High $10.72 | Professional | None | $6.31 | $7.59 | $10.72 |
Highmark BCBS Setting Facility Modifier None Typical Low $10.47 Median $11.48 Typical High $47.86 | Facility | None | $10.47 | $11.48 | $47.86 |
Highmark BCBS Setting Professional Modifier None Typical Low $10.23 Median $12.59 Typical High $34.67 | Professional | None | $10.23 | $12.59 | $34.67 |
MVP Health Care Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
MVP Health Care Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
United Setting Professional Modifier None Typical Low $6.31 Median $8.32 Typical High $14.79 | Professional | None | $6.31 | $8.32 | $14.79 |
Univera Setting Facility Modifier None Typical Low $7.94 Median $10.72 Typical High $100.00 | Facility | None | $7.94 | $10.72 | $100.00 |
Univera Setting Professional Modifier None Typical Low $6.31 Median $7.59 Typical High $10.23 | Professional | None | $6.31 | $7.59 | $10.23 |
10 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 $3.63 Median $3.63 Typical High $4.79 | Professional | 52 · Reduced service | $3.63 | $3.63 | $4.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.45 Median $1.45 Typical High $1.95 | Professional | 53 · Discontinued | $1.45 | $1.45 | $1.95 |
Excellus BCBS Setting Professional Modifier 59 · Distinct service Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | 59 · Distinct service | $6.17 | $6.17 | $6.17 |
Excellus BCBS Setting Professional Modifier 76 · Repeat, same provider Typical Low $6.46 Median $6.46 Typical High $9.77 | Professional | 76 · Repeat, same provider | $6.46 | $6.46 | $9.77 |
Excellus BCBS Setting Professional Modifier 77 · Repeat, other provider Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | 77 · Repeat, other provider | $6.17 | $6.17 | $6.17 |
Fidelis Setting Professional Modifier 76 · Repeat, same provider Typical Low $7.94 Median $8.32 Typical High $8.32 | Professional | 76 · Repeat, same provider | $7.94 | $8.32 | $8.32 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $5.25 Typical High $6.61 | Professional | 53 · Discontinued | $4.37 | $5.25 | $6.61 |
Univera Setting Professional Modifier 59 · Distinct service Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | 59 · Distinct service | $6.17 | $6.17 | $6.17 |
Univera Setting Professional Modifier 76 · Repeat, same provider Typical Low $6.46 Median $6.46 Typical High $9.77 | Professional | 76 · Repeat, same provider | $6.46 | $6.46 | $9.77 |
Univera Setting Professional Modifier 77 · Repeat, other provider Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | 77 · Repeat, other provider | $6.17 | $6.17 | $6.17 |
Where New York sits
The same service costs 2.5 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· 47th of 51
$8.51
AK $20.42MD $8.32
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.