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 $54.95 Median $64.57 Typical High $186.21 | Facility | None | $54.95 | $64.57 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $66.07 | Professional | None | $54.95 | $54.95 | $66.07 |
Ambetter Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $194.98 | Facility | None | $74.13 | $74.13 | $194.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $37.15 Median $70.79 Typical High $181.97 | Professional | None | $37.15 | $70.79 | $181.97 |
CDPHP Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $158.49 Typical High $213.80 | Facility | None | $72.44 | $158.49 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $107.15 Typical High $363.08 | Professional | None | $48.98 | $107.15 | $363.08 |
Emblem Health Setting Facility Modifier None Typical Low $67.61 Median $97.72 Typical High $169.82 | Facility | None | $67.61 | $97.72 | $169.82 |
Emblem Health Setting Professional Modifier None Typical Low $35.48 Median $44.67 Typical High $213.80 | Professional | None | $35.48 | $44.67 | $213.80 |
Excellus BCBS Setting Professional Modifier None Typical Low $48.98 Median $74.13 Typical High $83.18 | Professional | None | $48.98 | $74.13 | $83.18 |
Highmark BCBS Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $134.90 Typical High $257.04 | Facility | None | $13.80 | $134.90 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $154.88 | Professional | None | $60.26 | $60.26 | $154.88 |
United Setting Facility Modifier None Typical Low $67.61 Median $74.13 Typical High $93.33 | Facility | None | $67.61 | $74.13 | $93.33 |
United Setting Professional Modifier None Typical Low $31.62 Median $45.71 Typical High $112.20 | Professional | None | $31.62 | $45.71 | $112.20 |
Univera Setting Facility Modifier None Typical Low $48.98 Median $85.11 Typical High $138.04 | Facility | None | $48.98 | $85.11 | $138.04 |
Univera Setting Professional Modifier None Typical Low $48.98 Median $74.13 Typical High $89.13 | Professional | None | $48.98 | $74.13 | $89.13 |
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 $27.54 Median $27.54 Typical High $31.62 | Professional | 52 · Reduced service | $27.54 | $27.54 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.22 Typical High $12.59 | Professional | 53 · Discontinued | $11.22 | $11.22 | $12.59 |
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· 30th of 51
$67.61
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.