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 $15.85 Median $18.20 Typical High $72.44 | Facility | None | $15.85 | $18.20 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $18.20 | Professional | None | $15.14 | $15.14 | $18.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $52.48 | Facility | None | $20.42 | $20.42 | $52.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.00 Median $23.99 Typical High $58.88 | Professional | None | $10.00 | $23.99 | $58.88 |
CDPHP Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None | $20.42 | $20.42 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $19.95 Median $43.65 Typical High $57.54 | Facility | None | $19.95 | $43.65 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | None | $10.72 | $10.72 | $10.72 |
Emblem Health Setting Facility Modifier None Typical Low $20.42 Median $37.15 Typical High $67.61 | Facility | None | $20.42 | $37.15 | $67.61 |
Emblem Health Setting Professional Modifier None Typical Low $16.98 Median $22.39 Typical High $29.51 | Professional | None | $16.98 | $22.39 | $29.51 |
Excellus BCBS Setting Professional Modifier None Typical Low $17.38 Median $20.42 Typical High $23.44 | Professional | None | $17.38 | $20.42 | $23.44 |
Highmark BCBS Setting Facility Modifier None Typical Low $13.49 Median $38.02 Typical High $95.50 | Facility | None | $13.49 | $38.02 | $95.50 |
MVP Health Care Setting Facility Modifier None Typical Low $20.42 Median $36.31 Typical High $104.71 | Facility | None | $20.42 | $36.31 | $104.71 |
MVP Health Care Setting Professional Modifier None Typical Low $5.37 Median $6.03 Typical High $41.69 | Professional | None | $5.37 | $6.03 | $41.69 |
United Setting Facility Modifier None Typical Low $18.20 Median $20.42 Typical High $25.12 | Facility | None | $18.20 | $20.42 | $25.12 |
United Setting Professional Modifier None Typical Low $8.51 Median $9.77 Typical High $30.20 | Professional | None | $8.51 | $9.77 | $30.20 |
Univera Setting Facility Modifier None Typical Low $20.42 Median $23.44 Typical High $23.44 | Facility | None | $20.42 | $23.44 | $23.44 |
Univera Setting Professional Modifier None Typical Low $17.38 Median $20.42 Typical High $23.44 | Professional | None | $17.38 | $20.42 | $23.44 |
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 $7.59 Median $7.59 Typical High $8.71 | Professional | 52 · Reduced service | $7.59 | $7.59 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.02 Typical High $3.47 | Professional | 53 · Discontinued | $3.02 | $3.02 | $3.47 |
Where New York sits
The same service costs 4.7 times more in Alaska than in Delaware. 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· 42nd of 51
$17.38
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.