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 $0.15 Median $0.17 Typical High $0.31 | Facility | None | $0.15 | $0.17 | $0.31 |
Aetna Setting Professional Modifier None Typical Low $0.15 Median $0.15 Typical High $0.31 | Professional | None | $0.15 | $0.15 | $0.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.14 Median $0.20 Typical High $0.59 | Professional | None | $0.14 | $0.20 | $0.59 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.10 Median $0.14 Typical High $0.17 | Professional | UE · Used equipment | $0.10 | $0.14 | $0.17 |
Cigna Setting Facility Modifier None Typical Low $0.48 Median $0.48 Typical High $0.48 | Facility | None | $0.48 | $0.48 | $0.48 |
Cigna Setting Professional Modifier None Typical Low $0.17 Median $0.17 Typical High $0.17 | Professional | None | $0.17 | $0.17 | $0.17 |
Emblem Health Setting Facility Modifier None Typical Low $0.35 Median $0.52 Typical High $1.26 | Facility | None | $0.35 | $0.52 | $1.26 |
Emblem Health Setting Professional Modifier None Typical Low $0.20 Median $0.39 Typical High $0.65 | Professional | None | $0.20 | $0.39 | $0.65 |
Excellus BCBS Setting Facility Modifier None Typical Low $0.24 Median $0.24 Typical High $0.24 | Facility | None | $0.24 | $0.24 | $0.24 |
Excellus BCBS Setting Professional Modifier None Typical Low $0.21 Median $0.24 Typical High $0.28 | Professional | None | $0.21 | $0.24 | $0.28 |
MVP Health Care Setting Facility Modifier None Typical Low $0.54 Median $0.54 Typical High $0.54 | Facility | None | $0.54 | $0.54 | $0.54 |
MVP Health Care Setting Professional Modifier None Typical Low $0.24 Median $0.24 Typical High $0.51 | Professional | None | $0.24 | $0.24 | $0.51 |
United Setting Professional Modifier None Typical Low $0.11 Median $0.20 Typical High $0.24 | Professional | None | $0.11 | $0.20 | $0.24 |
Univera Setting Facility Modifier None Typical Low $0.21 Median $0.24 Typical High $0.24 | Facility | None | $0.21 | $0.24 | $0.24 |
Univera Setting Professional Modifier None Typical Low $0.21 Median $0.24 Typical High $0.28 | Professional | None | $0.21 | $0.24 | $0.28 |
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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.03 Median $0.04 Typical High $0.06 | Professional | RR · Rental | $0.03 | $0.04 | $0.06 |
Where New York sits
The same service costs 2.9 times more in Hawaii than in Utah. 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· 29th of 51
$0.20
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.