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 $50.12 Median $74.13 Typical High $269.15 | Facility | None | $50.12 | $74.13 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $74.13 | Professional | None | $50.12 | $50.12 | $74.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $229.09 | Facility | None | $89.13 | $89.13 | $229.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $39.81 Median $112.20 Typical High $199.53 | Professional | None | $39.81 | $112.20 | $199.53 |
CDPHP Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $190.55 Typical High $251.19 | Facility | None | $85.11 | $190.55 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $107.15 Typical High $426.58 | Professional | None | $53.70 | $107.15 | $426.58 |
Emblem Health Setting Facility Modifier None Typical Low $89.13 Median $194.98 Typical High $316.23 | Facility | None | $89.13 | $194.98 | $316.23 |
Emblem Health Setting Professional Modifier None Typical Low $61.66 Median $74.13 Typical High $128.82 | Professional | None | $61.66 | $74.13 | $128.82 |
Excellus BCBS Setting Professional Modifier None Typical Low $70.79 Median $83.18 Typical High $102.33 | Professional | None | $70.79 | $83.18 | $102.33 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $158.49 Typical High $257.04 | Facility | None | $13.80 | $158.49 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $181.97 | Professional | None | $54.95 | $54.95 | $181.97 |
United Setting Facility Modifier None Typical Low $79.43 Median $89.13 Typical High $109.65 | Facility | None | $79.43 | $89.13 | $109.65 |
United Setting Professional Modifier None Typical Low $37.15 Median $43.65 Typical High $134.90 | Professional | None | $37.15 | $43.65 | $134.90 |
Univera Setting Facility Modifier None Typical Low $57.54 Median $72.44 Typical High $93.33 | Facility | None | $57.54 | $72.44 | $93.33 |
Univera Setting Professional Modifier None Typical Low $70.79 Median $83.18 Typical High $100.00 | Professional | None | $70.79 | $83.18 | $100.00 |
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 $25.12 Median $25.12 Typical High $37.15 | Professional | 52 · Reduced service | $25.12 | $25.12 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.00 Typical High $15.14 | Professional | 53 · Discontinued | $10.00 | $10.00 | $15.14 |
Where New York sits
The same service costs 3.8 times more in Alaska than in Florida. 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· 33rd of 51
$74.13
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.