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 $0.93 Median $1.05 Typical High $2.04 | Facility | None | $0.93 | $1.05 | $2.04 |
Aetna Setting Professional Modifier None Typical Low $0.93 Median $0.93 Typical High $2.04 | Professional | None | $0.93 | $0.93 | $2.04 |
Ambetter Setting Professional Modifier None Typical Low $1.74 Median $1.74 Typical High $1.74 | Professional | None | $1.74 | $1.74 | $1.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.58 Median $0.91 Typical High $3.24 | Professional | None | $0.58 | $0.91 | $3.24 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.69 Median $0.69 Typical High $1.55 | Professional | UE · Used equipment | $0.69 | $0.69 | $1.55 |
CDPHP Setting Professional Modifier None Typical Low $1.78 Median $1.78 Typical High $1.78 | Professional | None | $1.78 | $1.78 | $1.78 |
Cigna Setting Facility Modifier None Typical Low $2.95 Median $2.95 Typical High $2.95 | Facility | None | $2.95 | $2.95 | $2.95 |
Cigna Setting Professional Modifier None Typical Low $1.10 Median $1.10 Typical High $1.10 | Professional | None | $1.10 | $1.10 | $1.10 |
Emblem Health Setting Facility Modifier None Typical Low $2.19 Median $3.24 Typical High $7.94 | Facility | None | $2.19 | $3.24 | $7.94 |
Emblem Health Setting Professional Modifier None Typical Low $0.48 Median $2.40 Typical High $3.98 | Professional | None | $0.48 | $2.40 | $3.98 |
Excellus BCBS Setting Facility Modifier None Typical Low $0.35 Median $0.35 Typical High $0.35 | Facility | None | $0.35 | $0.35 | $0.35 |
Excellus BCBS Setting Professional Modifier None Typical Low $0.35 Median $1.23 Typical High $1.78 | Professional | None | $0.35 | $1.23 | $1.78 |
MVP Health Care Setting Facility Modifier None Typical Low $0.78 Median $0.78 Typical High $0.78 | Facility | None | $0.78 | $0.78 | $0.78 |
MVP Health Care Setting Professional Modifier None Typical Low $1.62 Median $1.62 Typical High $3.16 | Professional | None | $1.62 | $1.62 | $3.16 |
United Setting Professional Modifier None Typical Low $0.72 Median $1.32 Typical High $1.58 | Professional | None | $0.72 | $1.32 | $1.58 |
Univera Setting Facility Modifier None Typical Low $0.35 Median $0.35 Typical High $1.23 | Facility | None | $0.35 | $0.35 | $1.23 |
Univera Setting Professional Modifier None Typical Low $0.35 Median $1.23 Typical High $1.78 | Professional | None | $0.35 | $1.23 | $1.78 |
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 $0.12 Median $0.19 Typical High $0.28 | Professional | RR · Rental | $0.12 | $0.19 | $0.28 |
Where New York sits
The same service costs 2.8 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· 45th of 51
$1.07
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.