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 $3.89 Median $4.37 Typical High $8.32 | Facility | None | $3.89 | $4.37 | $8.32 |
Aetna Setting Professional Modifier None Typical Low $3.89 Median $3.89 Typical High $8.32 | Professional | None | $3.89 | $3.89 | $8.32 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.89 Median $3.89 Typical High $15.14 | Professional | None | $3.89 | $3.89 | $15.14 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.39 Median $0.39 Typical High $0.69 | Professional | RR · Rental | $0.39 | $0.39 | $0.69 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2.95 Median $2.95 Typical High $5.89 | Professional | UE · Used equipment | $2.95 | $2.95 | $5.89 |
CDPHP Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | None | $7.41 | $7.41 | $7.41 |
Cigna Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Facility | None | $12.30 | $12.30 | $12.30 |
Cigna Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | None | $4.47 | $4.47 | $4.47 |
Emblem Health Setting Facility Modifier None Typical Low $9.12 Median $13.49 Typical High $32.36 | Facility | None | $9.12 | $13.49 | $32.36 |
Emblem Health Setting Professional Modifier None Typical Low $8.13 Median $10.00 Typical High $16.98 | Professional | None | $8.13 | $10.00 | $16.98 |
Excellus BCBS Setting Facility Modifier None Typical Low $3.63 Median $3.63 Typical High $3.63 | Facility | None | $3.63 | $3.63 | $3.63 |
Excellus BCBS Setting Professional Modifier None Typical Low $3.63 Median $5.13 Typical High $7.41 | Professional | None | $3.63 | $5.13 | $7.41 |
MVP Health Care Setting Facility Modifier None Typical Low $7.76 Median $7.76 Typical High $7.76 | Facility | None | $7.76 | $7.76 | $7.76 |
MVP Health Care Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $13.18 | Professional | None | $5.50 | $5.50 | $13.18 |
United Setting Professional Modifier None Typical Low $2.95 Median $5.37 Typical High $6.46 | Professional | None | $2.95 | $5.37 | $6.46 |
Univera Setting Facility Modifier None Typical Low $3.63 Median $3.63 Typical High $5.13 | Facility | None | $3.63 | $3.63 | $5.13 |
Univera Setting Professional Modifier None Typical Low $3.63 Median $5.13 Typical High $7.41 | Professional | None | $3.63 | $5.13 | $7.41 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier A2 · Dressing, 2 wounds Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | A2 · Dressing, 2 wounds | $6.76 | $6.76 | $6.76 |
Where New York sits
The same service costs 3.2 times more in Hawaii than in Colorado. 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· 31st of 51
$5.01
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.