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 $74.13 Typical High $269.15 | Facility | None | $46.77 | $74.13 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $74.13 | Professional | None | $46.77 | $46.77 | $74.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $229.09 | Facility | None | $87.10 | $87.10 | $229.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $32.36 Median $60.26 Typical High $199.53 | Professional | None | $32.36 | $60.26 | $199.53 |
CDPHP Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None | $87.10 | $87.10 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $186.21 Typical High $676.08 | Facility | None | $85.11 | $186.21 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $102.33 Typical High $426.58 | Professional | None | $51.29 | $102.33 | $426.58 |
Emblem Health Setting Facility Modifier None Typical Low $37.15 Median $87.10 Typical High $199.53 | Facility | None | $37.15 | $87.10 | $199.53 |
Emblem Health Setting Professional Modifier None Typical Low $41.69 Median $52.48 Typical High $169.82 | Professional | None | $41.69 | $52.48 | $169.82 |
Excellus BCBS Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Excellus BCBS Setting Professional Modifier None Typical Low $30.20 Median $57.54 Typical High $97.72 | Professional | None | $30.20 | $57.54 | $97.72 |
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 $57.54 Median $57.54 Typical High $181.97 | Professional | None | $57.54 | $57.54 | $181.97 |
United Setting Facility Modifier None Typical Low $79.43 Median $87.10 Typical High $109.65 | Facility | None | $79.43 | $87.10 | $109.65 |
United Setting Professional Modifier None Typical Low $37.15 Median $43.65 Typical High $131.83 | Professional | None | $37.15 | $43.65 | $131.83 |
Univera Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $100.00 | Facility | None | $38.02 | $38.02 | $100.00 |
Univera Setting Professional Modifier None Typical Low $30.20 Median $57.54 Typical High $97.72 | Professional | None | $30.20 | $57.54 | $97.72 |
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 $37.15 | Professional | 52 · Reduced service | $23.44 | $23.44 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.33 Typical High $14.79 | Professional | 53 · Discontinued | $9.33 | $9.33 | $14.79 |
Where New York sits
The same service costs 4.2 times more in Alaska than in Alabama. 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· 49th of 51
$57.54
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.