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 $7.24 Median $20.42 Typical High $48.98 | Facility | None | $7.24 | $20.42 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $7.24 Median $19.50 Typical High $21.38 | Professional | None | $7.24 | $19.50 | $21.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.49 Median $15.85 Typical High $23.99 | Professional | None | $13.49 | $15.85 | $23.99 |
CDPHP Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $28.18 | Professional | None | $11.75 | $11.75 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $48.98 | Facility | None | $12.02 | $12.02 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $21.38 Typical High $33.11 | Professional | None | $9.33 | $21.38 | $33.11 |
Emblem Health Setting Facility Modifier None Typical Low $7.41 Median $11.75 Typical High $28.84 | Facility | None | $7.41 | $11.75 | $28.84 |
Emblem Health Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $44.67 | Professional | None | $26.30 | $26.30 | $44.67 |
Excellus BCBS Setting Professional Modifier None Typical Low $17.78 Median $21.38 Typical High $26.92 | Professional | None | $17.78 | $21.38 | $26.92 |
MVP Health Care Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $26.30 | Professional | None | $24.55 | $24.55 | $26.30 |
United Setting Professional Modifier None Typical Low $6.46 Median $15.49 Typical High $23.44 | Professional | None | $6.46 | $15.49 | $23.44 |
Univera Setting Facility Modifier None Typical Low $8.51 Median $8.71 Typical High $19.95 | Facility | None | $8.51 | $8.71 | $19.95 |
Univera Setting Professional Modifier None Typical Low $14.45 Median $21.38 Typical High $23.99 | Professional | None | $14.45 | $21.38 | $23.99 |
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 $3.63 Median $9.55 Typical High $10.72 | Professional | 52 · Reduced service | $3.63 | $9.55 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.45 Median $3.80 Typical High $4.27 | Professional | 53 · Discontinued | $1.45 | $3.80 | $4.27 |
Where New York sits
The same service costs 3.7 times more in Alaska than in Washington, DC. 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· 40th of 51
$16.22
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.