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 $46.77 Median $54.95 Typical High $162.18 | Facility | None | $46.77 | $54.95 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $75.86 | Professional | None | $46.77 | $46.77 | $75.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $165.96 | Facility | None | $64.57 | $64.57 | $165.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $31.62 Median $48.98 Typical High $165.96 | Professional | None | $31.62 | $48.98 | $165.96 |
CDPHP Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $141.25 Typical High $676.08 | Facility | None | $63.10 | $141.25 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $77.62 Typical High $426.58 | Professional | None | $41.69 | $77.62 | $426.58 |
Emblem Health Setting Facility Modifier None Typical Low $10.00 Median $64.57 Typical High $144.54 | Facility | None | $10.00 | $64.57 | $144.54 |
Emblem Health Setting Professional Modifier None Typical Low $30.20 Median $44.67 Typical High $125.89 | Professional | None | $30.20 | $44.67 | $125.89 |
Excellus BCBS Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Excellus BCBS Setting Professional Modifier None Typical Low $25.70 Median $64.57 Typical High $72.44 | Professional | None | $25.70 | $64.57 | $72.44 |
Highmark BCBS Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $162.18 | Facility | None | $109.65 | $109.65 | $162.18 |
Highmark BCBS Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $114.82 Typical High $257.04 | Facility | None | $13.80 | $114.82 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $131.83 | Professional | None | $34.67 | $34.67 | $131.83 |
United Setting Facility Modifier None Typical Low $57.54 Median $64.57 Typical High $81.28 | Facility | None | $57.54 | $64.57 | $81.28 |
United Setting Professional Modifier None Typical Low $26.92 Median $39.81 Typical High $114.82 | Professional | None | $26.92 | $39.81 | $114.82 |
Univera Setting Facility Modifier None Typical Low $42.66 Median $64.57 Typical High $77.62 | Facility | None | $42.66 | $64.57 | $77.62 |
Univera Setting Professional Modifier None Typical Low $26.30 Median $64.57 Typical High $83.18 | Professional | None | $26.30 | $64.57 | $83.18 |
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 $23.44 Typical High $27.54 | Professional | 52 · Reduced service | $23.44 | $23.44 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.33 Typical High $10.96 | Professional | 53 · Discontinued | $9.33 | $9.33 | $10.96 |
Where New York sits
The same service costs 3.8 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· 35th of 51
$60.26
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.