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 $134.90 Typical High $245.47 | Facility | None | $43.65 | $134.90 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $46.77 Typical High $134.90 | Professional | None | $43.65 | $46.77 | $134.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $144.54 | Facility | None | $54.95 | $54.95 | $144.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $22.39 Median $38.90 Typical High $107.15 | Professional | None | $22.39 | $38.90 | $107.15 |
CDPHP Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $117.49 Typical High $158.49 | Facility | None | $53.70 | $117.49 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $64.57 Typical High $269.15 | Professional | None | $33.11 | $64.57 | $269.15 |
Emblem Health Setting Facility Modifier None Typical Low $39.81 Median $64.57 Typical High $125.89 | Facility | None | $39.81 | $64.57 | $125.89 |
Emblem Health Setting Professional Modifier None Typical Low $26.30 Median $33.11 Typical High $107.15 | Professional | None | $26.30 | $33.11 | $107.15 |
Excellus BCBS Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Excellus BCBS Setting Professional Modifier None Typical Low $34.67 Median $46.77 Typical High $63.10 | Professional | None | $34.67 | $46.77 | $63.10 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $100.00 Typical High $257.04 | Facility | None | $13.80 | $100.00 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $114.82 | Professional | None | $36.31 | $36.31 | $114.82 |
United Setting Facility Modifier None Typical Low $50.12 Median $54.95 Typical High $69.18 | Facility | None | $50.12 | $54.95 | $69.18 |
United Setting Professional Modifier None Typical Low $23.44 Median $32.36 Typical High $83.18 | Professional | None | $23.44 | $32.36 | $83.18 |
Univera Setting Facility Modifier None Typical Low $35.48 Median $36.31 Typical High $58.88 | Facility | None | $35.48 | $36.31 | $58.88 |
Univera Setting Professional Modifier None Typical Low $35.48 Median $46.77 Typical High $63.10 | Professional | None | $35.48 | $46.77 | $63.10 |
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 $23.44 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $23.44 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $9.33 | $56.23 | $56.23 |
Where New York sits
The same service costs 4.8 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· 40th of 51
$42.66
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.