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 $3.16 Median $12.30 Typical High $48.98 | Facility | None | $3.16 | $12.30 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $3.16 Median $5.01 Typical High $13.49 | Professional | None | $3.16 | $5.01 | $13.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $47.86 | Facility | None | $18.62 | $18.62 | $47.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.31 Median $5.89 Typical High $33.88 | Professional | None | $3.31 | $5.89 | $33.88 |
CDPHP Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $32.36 Typical High $42.66 | Facility | None | $10.00 | $32.36 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $89.13 | Professional | None | $8.91 | $8.91 | $89.13 |
Emblem Health Setting Facility Modifier None Typical Low $18.62 Median $27.54 Typical High $67.61 | Facility | None | $18.62 | $27.54 | $67.61 |
Emblem Health Setting Professional Modifier None Typical Low $8.13 Median $11.22 Typical High $51.29 | Professional | None | $8.13 | $11.22 | $51.29 |
Excellus BCBS Setting Professional Modifier None Typical Low $4.07 Median $18.20 Typical High $23.44 | Professional | None | $4.07 | $18.20 | $23.44 |
MVP Health Care Setting Facility Modifier None Typical Low $17.78 Median $31.62 Typical High $93.33 | Facility | None | $17.78 | $31.62 | $93.33 |
MVP Health Care Setting Professional Modifier None Typical Low $8.71 Median $11.22 Typical High $30.90 | Professional | None | $8.71 | $11.22 | $30.90 |
United Setting Facility Modifier None Typical Low $16.60 Median $18.62 Typical High $23.44 | Facility | None | $16.60 | $18.62 | $23.44 |
United Setting Professional Modifier None Typical Low $3.72 Median $9.12 Typical High $20.42 | Professional | None | $3.72 | $9.12 | $20.42 |
Univera Setting Facility Modifier None Typical Low $12.02 Median $18.20 Typical High $20.89 | Facility | None | $12.02 | $18.20 | $20.89 |
Univera Setting Professional Modifier None Typical Low $4.07 Median $12.02 Typical High $20.89 | Professional | None | $4.07 | $12.02 | $20.89 |
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 $1.58 Median $1.58 Typical High $6.76 | Professional | 52 · Reduced service | $1.58 | $1.58 | $6.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.63 Median $0.63 Typical High $2.69 | Professional | 53 · Discontinued | $0.63 | $0.63 | $2.69 |
Where New York sits
The same service costs 4.8 times more in Montana 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· 43rd of 51
$10.23
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.