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 $16.22 Median $19.95 Typical High $52.48 | Facility | None | $16.22 | $19.95 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $19.05 | Professional | None | $15.49 | $15.49 | $19.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $54.95 | Facility | None | $20.89 | $20.89 | $54.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.47 Median $16.98 Typical High $57.54 | Professional | None | $10.47 | $16.98 | $57.54 |
CDPHP Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $50.12 Typical High $229.09 | Facility | None | $20.42 | $50.12 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $28.84 Typical High $141.25 | Professional | None | $14.79 | $28.84 | $141.25 |
Emblem Health Setting Facility Modifier None Typical Low $15.14 Median $23.99 Typical High $47.86 | Facility | None | $15.14 | $23.99 | $47.86 |
Emblem Health Setting Professional Modifier None Typical Low $10.00 Median $14.79 Typical High $40.74 | Professional | None | $10.00 | $14.79 | $40.74 |
Excellus BCBS Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
Excellus BCBS Setting Professional Modifier None Typical Low $17.78 Median $20.89 Typical High $28.18 | Professional | None | $17.78 | $20.89 | $28.18 |
Highmark BCBS Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $38.02 Typical High $257.04 | Facility | None | $13.80 | $38.02 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $43.65 | Professional | None | $16.98 | $16.98 | $43.65 |
United Setting Facility Modifier None Typical Low $19.05 Median $20.89 Typical High $60.26 | Facility | None | $19.05 | $20.89 | $60.26 |
United Setting Professional Modifier None Typical Low $8.91 Median $12.59 Typical High $31.62 | Professional | None | $8.91 | $12.59 | $31.62 |
Univera Setting Facility Modifier None Typical Low $13.80 Median $20.89 Typical High $53.70 | Facility | None | $13.80 | $20.89 | $53.70 |
Univera Setting Professional Modifier None Typical Low $13.80 Median $20.89 Typical High $29.51 | Professional | None | $13.80 | $20.89 | $29.51 |
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 $7.76 Median $7.76 Typical High $8.91 | Professional | 52 · Reduced service | $7.76 | $7.76 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.16 Typical High $3.55 | Professional | 53 · Discontinued | $3.16 | $3.16 | $3.55 |
Where New York sits
The same service costs 3.0 times more in Alaska than in Maryland. 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
$19.95
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.