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 $38.90 Median $60.26 Typical High $218.78 | Facility | None | $38.90 | $60.26 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $60.26 | Professional | None | $38.90 | $38.90 | $60.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $186.21 | Facility | None | $70.79 | $70.79 | $186.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $26.92 Median $48.98 Typical High $162.18 | Professional | None | $26.92 | $48.98 | $162.18 |
CDPHP Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $151.36 Typical High $562.34 | Facility | None | $69.18 | $151.36 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $81.28 Typical High $346.74 | Professional | None | $41.69 | $81.28 | $346.74 |
Emblem Health Setting Facility Modifier None Typical Low $36.31 Median $70.79 Typical High $158.49 | Facility | None | $36.31 | $70.79 | $158.49 |
Emblem Health Setting Professional Modifier None Typical Low $33.11 Median $42.66 Typical High $138.04 | Professional | None | $33.11 | $42.66 | $138.04 |
Excellus BCBS Setting Professional Modifier None Typical Low $30.20 Median $70.79 Typical High $79.43 | Professional | None | $30.20 | $70.79 | $79.43 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $128.82 Typical High $257.04 | Facility | None | $13.80 | $128.82 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $147.91 | Professional | None | $46.77 | $46.77 | $147.91 |
United Setting Facility Modifier None Typical Low $64.57 Median $70.79 Typical High $89.13 | Facility | None | $64.57 | $70.79 | $89.13 |
United Setting Professional Modifier None Typical Low $30.20 Median $42.66 Typical High $107.15 | Professional | None | $30.20 | $42.66 | $107.15 |
Univera Setting Facility Modifier None Typical Low $46.77 Median $74.13 Typical High $218.78 | Facility | None | $46.77 | $74.13 | $218.78 |
Univera Setting Professional Modifier None Typical Low $30.20 Median $70.79 Typical High $79.43 | Professional | None | $30.20 | $70.79 | $79.43 |
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 $19.50 Median $19.50 Typical High $30.20 | Professional | 52 · Reduced service | $19.50 | $19.50 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $7.76 Typical High $12.02 | Professional | 53 · Discontinued | $7.76 | $7.76 | $12.02 |
Where New York sits
The same service costs 3.5 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· 37th 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.