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 $50.12 Median $87.10 Typical High $87.10 | Facility | None | $50.12 | $87.10 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $87.10 Typical High $87.10 | Professional | None | $50.12 | $87.10 | $87.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $48.98 Median $60.26 Typical High $67.61 | Professional | None | $48.98 | $60.26 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | None | $30.90 | $30.90 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $85.11 |
Emblem Health Setting Facility Modifier None Typical Low $21.88 Median $36.31 Typical High $74.13 | Facility | None | $21.88 | $36.31 | $74.13 |
Emblem Health Setting Professional Modifier None Typical Low $22.91 Median $23.99 Typical High $53.70 | Professional | None | $22.91 | $23.99 | $53.70 |
Excellus BCBS Setting Professional Modifier None Typical Low $14.13 Median $19.05 Typical High $21.88 | Professional | None | $14.13 | $19.05 | $21.88 |
United Setting Professional Modifier None Typical Low $14.13 Median $66.07 Typical High $93.33 | Professional | None | $14.13 | $66.07 | $93.33 |
Univera Setting Facility Modifier None Typical Low $14.79 Median $17.78 Typical High $17.78 | Facility | None | $14.79 | $17.78 | $17.78 |
Univera Setting Professional Modifier None Typical Low $11.48 Median $19.05 Typical High $21.88 | Professional | None | $11.48 | $19.05 | $21.88 |
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 $25.12 Median $43.65 Typical High $43.65 | Professional | 52 · Reduced service | $25.12 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $17.38 Typical High $17.38 | Professional | 53 · Discontinued | $10.00 | $17.38 | $17.38 |
Where New York sits
The same service costs 19.1 times more in Nebraska 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· 37th of 51
$60.26
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.