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 $4.68 Median $5.89 Typical High $12.88 | Facility | None | $4.68 | $5.89 | $12.88 |
Aetna Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $5.75 | Professional | None | $4.90 | $4.90 | $5.75 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.07 Median $4.79 Typical High $5.37 | Professional | None | $4.07 | $4.79 | $5.37 |
CDPHP Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | None | $7.08 | $7.08 | $7.08 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $81.28 Typical High $138.04 | Facility | None | $9.33 | $81.28 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $436.52 Typical High $436.52 | Professional | None | $85.11 | $436.52 | $436.52 |
Emblem Health Setting Facility Modifier None Typical Low $4.79 Median $7.41 Typical High $23.99 | Facility | None | $4.79 | $7.41 | $23.99 |
Emblem Health Setting Professional Modifier None Typical Low $7.24 Median $7.59 Typical High $10.72 | Professional | None | $7.24 | $7.59 | $10.72 |
Excellus BCBS Setting Professional Modifier None Typical Low $4.57 Median $5.62 Typical High $7.24 | Professional | None | $4.57 | $5.62 | $7.24 |
Highmark BCBS Setting Facility Modifier None Typical Low $12.59 Median $407.38 Typical High $575.44 | Facility | None | $12.59 | $407.38 | $575.44 |
MVP Health Care Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $10.23 | Professional | None | $5.01 | $5.01 | $10.23 |
United Setting Facility Modifier None Typical Low $269.15 Median $309.03 Typical High $380.19 | Facility | None | $269.15 | $309.03 | $380.19 |
United Setting Professional Modifier None Typical Low $4.47 Median $5.50 Typical High $15.14 | Professional | None | $4.47 | $5.50 | $15.14 |
Univera Setting Facility Modifier None Typical Low $5.50 Median $7.24 Typical High $89.13 | Facility | None | $5.50 | $7.24 | $89.13 |
Univera Setting Professional Modifier None Typical Low $3.09 Median $5.62 Typical High $7.24 | Professional | None | $3.09 | $5.62 | $7.24 |
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 $2.45 Median $2.45 Typical High $2.82 | Professional | 52 · Reduced service | $2.45 | $2.45 | $2.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.00 Median $1.00 Typical High $1.12 | Professional | 53 · Discontinued | $1.00 | $1.00 | $1.12 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $2.40 Median $3.16 Typical High $4.07 | Professional | 53 · Discontinued | $2.40 | $3.16 | $4.07 |
Where New York sits
The same service costs 3.9 times more in Indiana than in New York. 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· 51st 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.