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 $0.07 Median $0.08 Typical High $0.20 | Facility | None | $0.07 | $0.08 | $0.20 |
Aetna Setting Professional Modifier None Typical Low $0.07 Median $0.07 Typical High $0.08 | Professional | None | $0.07 | $0.07 | $0.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.04 Median $0.04 Typical High $0.04 | Professional | 52 · Reduced service | $0.04 | $0.04 | $0.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.08 Median $0.08 Typical High $0.09 | Professional | None | $0.08 | $0.08 | $0.09 |
Cigna Setting Facility Modifier None Typical Low $0.04 Median $0.04 Typical High $85.11 | Facility | None | $0.04 | $0.04 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $0.09 Median $0.09 Typical High $0.09 | Professional | None | $0.09 | $0.09 | $0.09 |
Emblem Health Setting Facility Modifier None Typical Low $0.04 Median $0.15 Typical High $0.25 | Facility | None | $0.04 | $0.15 | $0.25 |
Emblem Health Setting Professional Modifier None Typical Low $0.06 Median $0.21 Typical High $0.21 | Professional | None | $0.06 | $0.21 | $0.21 |
Excellus BCBS Setting Facility Modifier None Typical Low $0.06 Median $0.06 Typical High $0.22 | Facility | None | $0.06 | $0.06 | $0.22 |
Excellus BCBS Setting Professional Modifier None Typical Low $0.06 Median $0.18 Typical High $0.22 | Professional | None | $0.06 | $0.18 | $0.22 |
Highmark BCBS Setting Facility Modifier None Typical Low $0.07 Median $0.07 Typical High $0.21 | Facility | None | $0.07 | $0.07 | $0.21 |
MVP Health Care Setting Facility Modifier None Typical Low $0.19 Median $0.19 Typical High $0.19 | Facility | None | $0.19 | $0.19 | $0.19 |
MVP Health Care Setting Professional Modifier None Typical Low $0.05 Median $0.05 Typical High $0.12 | Professional | None | $0.05 | $0.05 | $0.12 |
United Setting Professional Modifier None Typical Low $0.07 Median $0.08 Typical High $0.10 | Professional | None | $0.07 | $0.08 | $0.10 |
Univera Setting Facility Modifier None Typical Low $0.06 Median $0.06 Typical High $0.22 | Facility | None | $0.06 | $0.06 | $0.22 |
Univera Setting Professional Modifier None Typical Low $0.06 Median $0.22 Typical High $0.22 | Professional | None | $0.06 | $0.22 | $0.22 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | 53 · Discontinued | $0.02 | $0.02 | $0.02 |
Where New York sits
The same service costs 14.8 times more in Montana than in Hawaii. 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· 47th of 51
$0.08
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.