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 $7.41 Median $14.79 Typical High $75.86 | Facility | None | $7.41 | $14.79 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $21.38 | Professional | None | $7.41 | $7.41 | $21.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $64.57 | Facility | None | $25.12 | $25.12 | $64.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.94 Median $11.48 Typical High $51.29 | Professional | None | $7.94 | $11.48 | $51.29 |
CDPHP Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $53.70 Typical High $64.57 | Facility | None | $17.38 | $53.70 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $120.23 | Professional | None | $14.79 | $14.79 | $120.23 |
Emblem Health Setting Facility Modifier None Typical Low $8.91 Median $25.12 Typical High $56.23 | Facility | None | $8.91 | $25.12 | $56.23 |
Emblem Health Setting Professional Modifier None Typical Low $11.75 Median $15.14 Typical High $70.79 | Professional | None | $11.75 | $15.14 | $70.79 |
Excellus BCBS Setting Professional Modifier None Typical Low $9.55 Median $19.95 Typical High $32.36 | Professional | None | $9.55 | $19.95 | $32.36 |
MVP Health Care Setting Facility Modifier None Typical Low $25.12 Median $44.67 Typical High $131.83 | Facility | None | $25.12 | $44.67 | $131.83 |
MVP Health Care Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $51.29 | Professional | None | $16.22 | $16.22 | $51.29 |
United Setting Facility Modifier None Typical Low $22.39 Median $25.12 Typical High $30.90 | Facility | None | $22.39 | $25.12 | $30.90 |
United Setting Professional Modifier None Typical Low $11.22 Median $15.14 Typical High $33.88 | Professional | None | $11.22 | $15.14 | $33.88 |
Univera Setting Facility Modifier None Typical Low $16.22 Median $25.12 Typical High $28.84 | Facility | None | $16.22 | $25.12 | $28.84 |
Univera Setting Professional Modifier None Typical Low $10.47 Median $19.95 Typical High $28.84 | Professional | None | $10.47 | $19.95 | $28.84 |
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 $3.72 Median $3.72 Typical High $10.72 | Professional | 52 · Reduced service | $3.72 | $3.72 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.48 Median $1.48 Typical High $4.27 | Professional | 53 · Discontinued | $1.48 | $1.48 | $4.27 |
Where New York sits
The same service costs 2.7 times more in Montana than in Georgia. 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· 40th of 51
$16.22
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.