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 $36.31 Median $56.23 Typical High $165.96 | Facility | None | $36.31 | $56.23 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $72.44 | Professional | None | $36.31 | $36.31 | $72.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $169.82 | Facility | None | $66.07 | $66.07 | $169.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $54.95 Median $91.20 Typical High $165.96 | Professional | None | $54.95 | $91.20 | $165.96 |
CDPHP Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $141.25 Typical High $186.21 | Facility | None | $64.57 | $141.25 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $79.43 Typical High $316.23 | Professional | None | $39.81 | $79.43 | $316.23 |
Emblem Health Setting Facility Modifier None Typical Low $16.98 Median $66.07 Typical High $147.91 | Facility | None | $16.98 | $66.07 | $147.91 |
Emblem Health Setting Professional Modifier None Typical Low $45.71 Median $56.23 Typical High $87.10 | Professional | None | $45.71 | $56.23 | $87.10 |
Excellus BCBS Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Excellus BCBS Setting Professional Modifier None Typical Low $51.29 Median $66.07 Typical High $85.11 | Professional | None | $51.29 | $66.07 | $85.11 |
Highmark BCBS Setting Facility Modifier None Typical Low $53.70 Median $112.20 Typical High $257.04 | Facility | None | $53.70 | $112.20 | $257.04 |
Highmark BCBS Setting Professional Modifier None Typical Low $58.88 Median $67.61 Typical High $67.61 | Professional | None | $58.88 | $67.61 | $67.61 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $117.49 Typical High $257.04 | Facility | None | $13.80 | $117.49 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $134.90 | Professional | None | $39.81 | $39.81 | $134.90 |
United Setting Facility Modifier None Typical Low $58.88 Median $66.07 Typical High $81.28 | Facility | None | $58.88 | $66.07 | $81.28 |
United Setting Professional Modifier None Typical Low $27.54 Median $32.36 Typical High $100.00 | Professional | None | $27.54 | $32.36 | $100.00 |
Univera Setting Facility Modifier None Typical Low $42.66 Median $66.07 Typical High $79.43 | Facility | None | $42.66 | $66.07 | $79.43 |
Univera Setting Professional Modifier None Typical Low $43.65 Median $66.07 Typical High $85.11 | Professional | None | $43.65 | $66.07 | $85.11 |
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 $18.20 Median $18.20 Typical High $28.18 | Professional | 52 · Reduced service | $18.20 | $18.20 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.24 Typical High $11.22 | Professional | 53 · Discontinued | $7.24 | $7.24 | $11.22 |
Where New York sits
The same service costs 3.4 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· 23rd of 51
$66.07
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.