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 $27.54 Median $28.18 Typical High $74.13 | Facility | None | $27.54 | $28.18 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $31.62 | Professional | None | $27.54 | $27.54 | $31.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.99 Median $28.18 Typical High $37.15 | Professional | None | $23.99 | $28.18 | $37.15 |
CDPHP Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $131.83 Typical High $190.55 | Facility | None | $50.12 | $131.83 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $169.82 Typical High $169.82 | Professional | None | $38.02 | $169.82 | $169.82 |
Emblem Health Setting Facility Modifier None Typical Low $12.88 Median $39.81 Typical High $138.04 | Facility | None | $12.88 | $39.81 | $138.04 |
Emblem Health Setting Professional Modifier None Typical Low $18.20 Median $42.66 Typical High $60.26 | Professional | None | $18.20 | $42.66 | $60.26 |
Excellus BCBS Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Facility | None | $7.59 | $7.59 | $7.59 |
Excellus BCBS Setting Professional Modifier None Typical Low $26.30 Median $30.90 Typical High $40.74 | Professional | None | $26.30 | $30.90 | $40.74 |
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 $57.54 Median $57.54 Typical High $57.54 | Professional | None | $57.54 | $57.54 | $57.54 |
United Setting Facility Modifier None Typical Low $436.52 Median $501.19 Typical High $616.60 | Facility | None | $436.52 | $501.19 | $616.60 |
United Setting Professional Modifier None Typical Low $25.12 Median $31.62 Typical High $45.71 | Professional | None | $25.12 | $31.62 | $45.71 |
Univera Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $70.79 | Facility | None | $7.59 | $7.59 | $70.79 |
Univera Setting Professional Modifier None Typical Low $20.42 Median $30.90 Typical High $39.81 | Professional | None | $20.42 | $30.90 | $39.81 |
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 $13.80 Median $13.80 Typical High $15.85 | Professional | 52 · Reduced service | $13.80 | $13.80 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $5.62 Typical High $6.31 | Professional | 53 · Discontinued | $5.62 | $5.62 | $6.31 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $19.95 Typical High $27.54 | Professional | 53 · Discontinued | $15.14 | $19.95 | $27.54 |
Where New York sits
The same service costs 3.6 times more in Minnesota 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· 44th of 51
$28.18
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.