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 $0.08 Median $0.09 Typical High $0.09 | Facility | None | $0.08 | $0.09 | $0.09 |
Aetna Setting Professional Modifier None Typical Low $0.08 Median $0.08 Typical High $0.09 | Professional | None | $0.08 | $0.08 | $0.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.74 Median $1.74 Typical High $1.95 | Professional | None | $1.74 | $1.74 | $1.95 |
Cigna Setting Professional Modifier None Typical Low $0.07 Median $0.07 Typical High $0.07 | Professional | None | $0.07 | $0.07 | $0.07 |
Excellus BCBS Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $39.81 | Professional | None | $33.88 | $33.88 | $39.81 |
MVP Health Care Setting Professional Modifier None Typical Low $0.02 Median $0.03 Typical High $0.07 | Professional | None | $0.02 | $0.03 | $0.07 |
United Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
Univera Setting Facility Modifier None Typical Low $30.20 Median $30.90 Typical High $39.81 | Facility | None | $30.20 | $30.90 | $39.81 |
Univera Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $39.81 | Professional | None | $33.88 | $33.88 | $39.81 |
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 |
|---|---|---|---|---|---|
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | GL · Free upgrade | $20.89 | $20.89 | $20.89 |
Where New York sits
The same service costs 1122.0 times more in Montana than in Oregon. 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· 35th 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.