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 $36.31 Median $61.66 Typical High $61.66 | Facility | None | $36.31 | $61.66 | $61.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $61.66 Typical High $61.66 | Professional | None (both parts) | $36.31 | $61.66 | $61.66 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $25.70 Median $31.62 Typical High $38.02 | Professional | None (both parts) | $25.70 | $31.62 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $257.04 | $257.04 | $257.04 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $97.72 | Professional | None (both parts) | $54.95 | $54.95 | $97.72 |
United Setting Facility Modifier None Typical Low $75.86 Median $87.10 Typical High $107.15 | Facility | None | $75.86 | $87.10 | $107.15 |
United Setting Professional Modifier None (both parts) Typical Low $41.69 Median $63.10 Typical High $131.83 | Professional | None (both parts) | $41.69 | $63.10 | $131.83 |
Univera Setting Facility Modifier None Typical Low $42.66 Median $54.95 Typical High $54.95 | Facility | None | $42.66 | $54.95 | $54.95 |
Univera Setting Professional Modifier None (both parts) Typical Low $33.11 Median $54.95 Typical High $97.72 | Professional | None (both parts) | $33.11 | $54.95 | $97.72 |
4 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 $17.78 Median $30.90 Typical High $30.90 | Professional | 52 · Reduced service | $17.78 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $12.59 Typical High $12.59 | Professional | 53 · Discontinued | $7.24 | $12.59 | $12.59 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $34.67 Typical High $42.66 | Professional | 26 · Professional part | $19.95 | $34.67 | $42.66 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $28.18 Typical High $34.67 | Professional | TC · Technical part | $15.85 | $28.18 | $34.67 |
Where New York sits
The same service costs 6.9 times more in Alaska 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
$33.88
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.