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 $35.48 Median $41.69 Typical High $147.91 | Facility | None | $35.48 | $41.69 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $42.66 | Professional | None | $35.48 | $35.48 | $42.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $123.03 | Facility | None | $47.86 | $47.86 | $123.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.44 Median $33.11 Typical High $100.00 | Professional | None | $23.44 | $33.11 | $100.00 |
CDPHP Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None | $47.86 | $47.86 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $104.71 Typical High $446.68 | Facility | None | $46.77 | $104.71 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $57.54 Typical High $275.42 | Professional | None | $32.36 | $57.54 | $275.42 |
Emblem Health Setting Facility Modifier None Typical Low $19.95 Median $47.86 Typical High $107.15 | Facility | None | $19.95 | $47.86 | $107.15 |
Emblem Health Setting Professional Modifier None Typical Low $22.39 Median $28.84 Typical High $134.90 | Professional | None | $22.39 | $28.84 | $134.90 |
Excellus BCBS Setting Professional Modifier None Typical Low $31.62 Median $47.86 Typical High $53.70 | Professional | None | $31.62 | $47.86 | $53.70 |
Highmark BCBS Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $138.04 | Facility | None | $123.03 | $123.03 | $138.04 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $85.11 Typical High $257.04 | Facility | None | $13.80 | $85.11 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $97.72 | Professional | None | $25.12 | $25.12 | $97.72 |
United Setting Facility Modifier None Typical Low $42.66 Median $47.86 Typical High $60.26 | Facility | None | $42.66 | $47.86 | $60.26 |
United Setting Professional Modifier None Typical Low $19.95 Median $28.84 Typical High $72.44 | Professional | None | $19.95 | $28.84 | $72.44 |
Univera Setting Facility Modifier None Typical Low $28.84 Median $50.12 Typical High $125.89 | Facility | None | $28.84 | $50.12 | $125.89 |
Univera Setting Professional Modifier None Typical Low $28.84 Median $47.86 Typical High $54.95 | Professional | None | $28.84 | $47.86 | $54.95 |
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 $17.78 Median $17.78 Typical High $20.42 | Professional | 52 · Reduced service | $17.78 | $17.78 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.08 Typical High $8.13 | Professional | 53 · Discontinued | $7.08 | $7.08 | $8.13 |
Where New York sits
The same service costs 5.4 times more in Alaska than in Alabama. 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· 44th of 51
$37.15
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.