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 $43.65 Median $52.48 Typical High $154.88 | Facility | None | $43.65 | $52.48 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $52.48 Typical High $75.86 | Professional | None | $43.65 | $52.48 | $75.86 |
Ambetter Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $30.90 | Professional | None | $28.18 | $28.18 | $30.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $162.18 | Facility | None | $61.66 | $61.66 | $162.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.84 Median $58.88 Typical High $144.54 | Professional | None | $28.84 | $58.88 | $144.54 |
CDPHP Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $131.83 Typical High $177.83 | Facility | None | $60.26 | $131.83 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $70.79 Typical High $302.00 | Professional | None | $37.15 | $70.79 | $302.00 |
Emblem Health Setting Facility Modifier None Typical Low $52.48 Median $79.43 Typical High $141.25 | Facility | None | $52.48 | $79.43 | $141.25 |
Emblem Health Setting Professional Modifier None Typical Low $25.12 Median $37.15 Typical High $120.23 | Professional | None | $25.12 | $37.15 | $120.23 |
Excellus BCBS Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Facility | None | $7.59 | $7.59 | $7.59 |
Excellus BCBS Setting Professional Modifier None Typical Low $7.59 Median $58.88 Typical High $69.18 | Professional | None | $7.59 | $58.88 | $69.18 |
Highmark BCBS Setting Facility Modifier None Typical Low $41.69 Median $79.43 Typical High $234.42 | Facility | None | $41.69 | $79.43 | $234.42 |
Highmark BCBS Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $41.69 | Professional | None | $38.90 | $38.90 | $41.69 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $81.28 Typical High $257.04 | Facility | None | $13.80 | $81.28 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $128.82 | Professional | None | $46.77 | $46.77 | $128.82 |
United Setting Facility Modifier None Typical Low $56.23 Median $61.66 Typical High $77.62 | Facility | None | $56.23 | $61.66 | $77.62 |
United Setting Professional Modifier None Typical Low $26.30 Median $37.15 Typical High $93.33 | Professional | None | $26.30 | $37.15 | $93.33 |
Univera Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $95.50 | Facility | None | $7.59 | $7.59 | $95.50 |
Univera Setting Professional Modifier None Typical Low $7.59 Median $56.23 Typical High $70.79 | Professional | None | $7.59 | $56.23 | $70.79 |
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 $21.88 Median $21.88 Typical High $26.30 | Professional | 52 · Reduced service | $21.88 | $21.88 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $10.47 | Professional | 53 · Discontinued | $8.71 | $8.71 | $10.47 |
Where New York sits
The same service costs 4.5 times more in Alaska than in Kentucky. 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· 36th of 51
$52.48
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.