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 $5.37 Median $7.94 Typical High $30.20 | Facility | None | $5.37 | $7.94 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $9.55 | Professional | None | $5.37 | $5.37 | $9.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.77 Median $9.77 Typical High $25.12 | Facility | None | $9.77 | $9.77 | $25.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.89 Median $6.76 Typical High $21.88 | Professional | None | $3.89 | $6.76 | $21.88 |
CDPHP Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
Cigna Setting Facility Modifier None Typical Low $8.32 Median $20.89 Typical High $25.12 | Facility | None | $8.32 | $20.89 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $46.77 | Professional | None | $5.75 | $5.75 | $46.77 |
Emblem Health Setting Facility Modifier None Typical Low $9.77 Median $14.45 Typical High $35.48 | Facility | None | $9.77 | $14.45 | $35.48 |
Emblem Health Setting Professional Modifier None Typical Low $4.57 Median $5.89 Typical High $27.54 | Professional | None | $4.57 | $5.89 | $27.54 |
Excellus BCBS Setting Professional Modifier None Typical Low $6.46 Median $9.77 Typical High $12.59 | Professional | None | $6.46 | $9.77 | $12.59 |
MVP Health Care Setting Facility Modifier None Typical Low $9.77 Median $17.38 Typical High $51.29 | Facility | None | $9.77 | $17.38 | $51.29 |
MVP Health Care Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $19.95 | Professional | None | $6.31 | $6.31 | $19.95 |
United Setting Facility Modifier None Typical Low $8.71 Median $9.77 Typical High $12.30 | Facility | None | $8.71 | $9.77 | $12.30 |
United Setting Professional Modifier None Typical Low $4.37 Median $5.89 Typical High $13.18 | Professional | None | $4.37 | $5.89 | $13.18 |
Univera Setting Facility Modifier None Typical Low $6.46 Median $9.77 Typical High $11.22 | Facility | None | $6.46 | $9.77 | $11.22 |
Univera Setting Professional Modifier None Typical Low $6.31 Median $9.55 Typical High $12.59 | Professional | None | $6.31 | $9.55 | $12.59 |
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 $2.63 Median $2.63 Typical High $4.17 | Professional | 52 · Reduced service | $2.63 | $2.63 | $4.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.07 Median $1.07 Typical High $1.66 | Professional | 53 · Discontinued | $1.07 | $1.07 | $1.66 |
Where New York sits
The same service costs 2.3 times more in Alaska than in Florida. 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· 48th of 51
$7.59
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.