How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 |
|---|---|---|---|---|---|
CDPHP Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | None | $5.75 | $5.75 | $5.75 |
MVP Health Care Setting Professional Modifier None Typical Low $2.00 Median $2.00 Typical High $8.32 | Professional | None | $2.00 | $2.00 | $8.32 |
Univera Setting Facility Modifier None Typical Low $3.55 Median $3.55 Typical High $3.63 | Facility | None | $3.55 | $3.55 | $3.63 |
Univera Setting Professional Modifier None Typical Low $3.55 Median $3.55 Typical High $3.72 | Professional | None | $3.55 | $3.55 | $3.72 |
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 |
|---|---|---|---|---|---|
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | GL · Free upgrade | $3.39 | $3.39 | $3.39 |
Where New York sits
The same service costs 10.5 times more in Florida than in North Carolina. 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· 27th of 32
$5.75
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.