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 $26.92 Median $31.62 Typical High $33.11 | Facility | None | $26.92 | $31.62 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $33.11 | Professional | None | $26.92 | $26.92 | $33.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $37.15 | Professional | None | $32.36 | $32.36 | $37.15 |
CDPHP Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $85.11 Typical High $165.96 | Facility | None | $33.11 | $85.11 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Emblem Health Setting Facility Modifier None Typical Low $61.66 Median $75.86 Typical High $141.25 | Facility | None | $61.66 | $75.86 | $141.25 |
Emblem Health Setting Professional Modifier None Typical Low $58.88 Median $69.18 Typical High $69.18 | Professional | None | $58.88 | $69.18 | $69.18 |
Excellus BCBS Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None | $29.51 | $29.51 | $29.51 |
MVP Health Care Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
United Setting Professional Modifier None Typical Low $32.36 Median $34.67 Typical High $50.12 | Professional | None | $32.36 | $34.67 | $50.12 |
Univera Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $30.90 | Facility | None | $29.51 | $29.51 | $30.90 |
Univera Setting Professional Modifier None Typical Low $17.78 Median $29.51 Typical High $29.51 | Professional | None | $17.78 | $29.51 | $29.51 |
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 $13.49 Median $13.49 Typical High $16.22 | Professional | 52 · Reduced service | $13.49 | $13.49 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.37 Typical High $6.46 | Professional | 53 · Discontinued | $5.37 | $5.37 | $6.46 |
Where New York sits
The same service costs 3.5 times more in Montana than in North Dakota. 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· 36th of 51
$33.11
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.