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 $58.88 Typical High $213.80 | Facility | None | $36.31 | $58.88 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $58.88 | Professional | None | $36.31 | $36.31 | $58.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $177.83 | Facility | None | $69.18 | $69.18 | $177.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $32.36 Median $47.86 Typical High $141.25 | Professional | None | $32.36 | $47.86 | $141.25 |
CDPHP Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $100.00 Typical High $245.47 | Facility | None | $45.71 | $100.00 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $79.43 Typical High $331.13 | Professional | None | $43.65 | $79.43 | $331.13 |
Emblem Health Setting Facility Modifier None Typical Low $58.88 Median $87.10 Typical High $154.88 | Facility | None | $58.88 | $87.10 | $154.88 |
Emblem Health Setting Professional Modifier None Typical Low $32.36 Median $41.69 Typical High $194.98 | Professional | None | $32.36 | $41.69 | $194.98 |
Excellus BCBS Setting Professional Modifier None Typical Low $41.69 Median $69.18 Typical High $77.62 | Professional | None | $41.69 | $69.18 | $77.62 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $123.03 Typical High $257.04 | Facility | None | $13.80 | $123.03 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $141.25 | Professional | None | $52.48 | $52.48 | $141.25 |
United Setting Facility Modifier None Typical Low $61.66 Median $69.18 Typical High $87.10 | Facility | None | $61.66 | $69.18 | $87.10 |
United Setting Professional Modifier None Typical Low $28.84 Median $41.69 Typical High $102.33 | Professional | None | $28.84 | $41.69 | $102.33 |
Univera Setting Facility Modifier None Typical Low $44.67 Median $58.88 Typical High $72.44 | Facility | None | $44.67 | $58.88 | $72.44 |
Univera Setting Professional Modifier None Typical Low $41.69 Median $66.07 Typical High $77.62 | Professional | None | $41.69 | $66.07 | $77.62 |
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 $29.51 | Professional | 52 · Reduced service | $18.20 | $18.20 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.24 Typical High $11.75 | Professional | 53 · Discontinued | $7.24 | $7.24 | $11.75 |
Where New York sits
The same service costs 4.4 times more in Alaska than in Oklahoma. 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
$54.95
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.