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 |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $3.89 Median $6.03 Typical High $83.18 | Facility | None | $3.89 | $6.03 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $4.17 Median $83.18 Typical High $83.18 | Professional | None | $4.17 | $83.18 | $83.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.90 Median $4.90 Typical High $12.88 | Facility | None | $4.90 | $4.90 | $12.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.45 Median $3.39 Typical High $10.47 | Professional | None | $2.45 | $3.39 | $10.47 |
CDPHP Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $4.90 | Professional | None | $4.90 | $4.90 | $4.90 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $3.24 Median $6.61 Typical High $61.66 | Professional | None | $3.24 | $6.61 | $61.66 |
Emblem Health Setting Facility Modifier None Typical Low $4.90 Median $8.13 Typical High $17.78 | Facility | None | $4.90 | $8.13 | $17.78 |
Emblem Health Setting Professional Modifier None Typical Low $2.34 Median $2.95 Typical High $14.13 | Professional | None | $2.34 | $2.95 | $14.13 |
Excellus BCBS Setting Professional Modifier None Typical Low $3.02 Median $4.90 Typical High $6.31 | Professional | None | $3.02 | $4.90 | $6.31 |
MVP Health Care Setting Facility Modifier None Typical Low $4.90 Median $8.91 Typical High $25.70 | Facility | None | $4.90 | $8.91 | $25.70 |
MVP Health Care Setting Professional Modifier None Typical Low $3.98 Median $3.98 Typical High $10.23 | Professional | None | $3.98 | $3.98 | $10.23 |
United Setting Professional Modifier None Typical Low $2.09 Median $2.95 Typical High $7.41 | Professional | None | $2.09 | $2.95 | $7.41 |
Univera Setting Facility Modifier None Typical Low $4.90 Median $4.90 Typical High $4.90 | Facility | None | $4.90 | $4.90 | $4.90 |
Univera Setting Professional Modifier None Typical Low $3.02 Median $4.90 Typical High $6.31 | Professional | None | $3.02 | $4.90 | $6.31 |
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 $2.09 Median $41.69 Typical High $41.69 | Professional | 52 · Reduced service | $2.09 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.83 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $0.83 | $16.60 | $16.60 |
Where New York sits
The same service costs 6.2 times more in Alabama than in Kentucky. 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· 29th of 51
$4.47
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.