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 $47.86 Median $83.18 Typical High $83.18 | Facility | None | $47.86 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $83.18 Typical High $83.18 | Professional | None | $47.86 | $83.18 | $83.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.14 Median $18.20 Typical High $19.95 | Professional | None | $15.14 | $18.20 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
Excellus BCBS Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $75.86 | Professional | None | $61.66 | $61.66 | $75.86 |
MVP Health Care Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None | $269.15 | $269.15 | $269.15 |
United Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $72.44 | Professional | None | $41.69 | $50.12 | $72.44 |
Univera Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Univera Setting Professional Modifier None Typical Low $37.15 Median $61.66 Typical High $75.86 | Professional | None | $37.15 | $61.66 | $75.86 |
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 $23.99 Median $41.69 Typical High $41.69 | Professional | 52 · Reduced service | $23.99 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $9.55 | $16.60 | $16.60 |
Where New York sits
The same service costs 5.9 times more in Hawaii than in New York. 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· 51st of 51
$19.95
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.