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 $40.74 Typical High $120.23 | Facility | None | $35.48 | $40.74 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $38.02 Typical High $58.88 | Professional | None | $35.48 | $38.02 | $58.88 |
Ambetter Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
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 $38.02 Typical High $128.82 | Professional | None | $23.44 | $38.02 | $128.82 |
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 $512.86 | Facility | None | $46.77 | $104.71 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $67.61 Typical High $302.00 | Professional | None | $33.11 | $67.61 | $302.00 |
Emblem Health Setting Facility Modifier None Typical Low $28.84 Median $47.86 Typical High $107.15 | Facility | None | $28.84 | $47.86 | $107.15 |
Emblem Health Setting Professional Modifier None Typical Low $22.39 Median $28.84 Typical High $93.33 | Professional | None | $22.39 | $28.84 | $93.33 |
Excellus BCBS Setting Professional Modifier None Typical Low $30.90 Median $47.86 Typical High $53.70 | Professional | None | $30.90 | $47.86 | $53.70 |
Highmark BCBS Setting Facility Modifier None Typical Low $31.62 Median $79.43 Typical High $218.78 | Facility | None | $31.62 | $79.43 | $218.78 |
Highmark BCBS Setting Professional Modifier None Typical Low $28.84 Median $31.62 Typical High $35.48 | Professional | None | $28.84 | $31.62 | $35.48 |
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 $38.02 Median $38.02 Typical High $97.72 | Professional | None | $38.02 | $38.02 | $97.72 |
United Setting Facility Modifier None Typical Low $42.66 Median $47.86 Typical High $58.88 | Facility | None | $42.66 | $47.86 | $58.88 |
United Setting Professional Modifier None Typical Low $19.95 Median $30.90 Typical High $70.79 | Professional | None | $19.95 | $30.90 | $70.79 |
Univera Setting Facility Modifier None Typical Low $30.90 Median $54.95 Typical High $190.55 | Facility | None | $30.90 | $54.95 | $190.55 |
Univera Setting Professional Modifier None Typical Low $30.90 Median $47.86 Typical High $63.10 | Professional | None | $30.90 | $47.86 | $63.10 |
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 6.6 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· 38th of 51
$42.66
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.