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 $14.79 Median $223.87 Typical High $389.05 | Facility | None | $14.79 | $223.87 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $14.79 Typical High $14.79 | Professional | None | $10.47 | $14.79 | $14.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $85.11 |
CDPHP Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | None | $23.44 | $23.44 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $18.62 Typical High $61.66 | Professional | None | $12.02 | $18.62 | $61.66 |
Emblem Health Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $54.95 | Facility | None | $26.92 | $26.92 | $54.95 |
Emblem Health Setting Professional Modifier None Typical Low $34.67 Median $38.02 Typical High $81.28 | Professional | None | $34.67 | $38.02 | $81.28 |
Excellus BCBS Setting Professional Modifier None Typical Low $10.96 Median $39.81 Typical High $67.61 | Professional | None | $10.96 | $39.81 | $67.61 |
MVP Health Care Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
MVP Health Care Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
United Setting Professional Modifier None Typical Low $12.30 Median $54.95 Typical High $64.57 | Professional | None | $12.30 | $54.95 | $64.57 |
Univera Setting Facility Modifier None Typical Low $12.88 Median $13.80 Typical High $40.74 | Facility | None | $12.88 | $13.80 | $40.74 |
Univera Setting Professional Modifier None Typical Low $10.96 Median $39.81 Typical High $67.61 | Professional | None | $10.96 | $39.81 | $67.61 |
1 more rate 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 |
|---|---|---|---|---|---|
Fidelis Setting Professional Modifier GP · Physical therapy plan Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | GP · Physical therapy plan | $5.75 | $5.75 | $5.75 |
Where New York sits
The same service costs 7.6 times more in North Dakota than in Virginia. 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· 6th of 51
$23.44
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.