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 $21.88 Median $25.70 Typical High $74.13 | Facility | None | $21.88 | $25.70 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $25.12 Typical High $39.81 | Professional | None | $21.88 | $25.12 | $39.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.85 Median $29.51 Typical High $75.86 | Facility | None | $15.85 | $29.51 | $75.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.45 Median $29.51 Typical High $87.10 | Professional | None | $14.45 | $29.51 | $87.10 |
CDPHP Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $29.51 | Professional | None | $25.70 | $25.70 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $69.18 Typical High $316.23 | Facility | None | $28.84 | $69.18 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $43.65 Typical High $181.97 | Professional | None | $26.92 | $43.65 | $181.97 |
Emblem Health Setting Facility Modifier None Typical Low $14.45 Median $29.51 Typical High $66.07 | Facility | None | $14.45 | $29.51 | $66.07 |
Emblem Health Setting Professional Modifier None Typical Low $13.80 Median $20.42 Typical High $57.54 | Professional | None | $13.80 | $20.42 | $57.54 |
Excellus BCBS Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Facility | None | $29.51 | $29.51 | $29.51 |
Excellus BCBS Setting Professional Modifier None Typical Low $21.88 Median $29.51 Typical High $35.48 | Professional | None | $21.88 | $29.51 | $35.48 |
Highmark BCBS Setting Facility Modifier None Typical Low $23.44 Median $47.86 Typical High $131.83 | Facility | None | $23.44 | $47.86 | $131.83 |
Highmark BCBS Setting Professional Modifier None Typical Low $17.78 Median $19.50 Typical High $20.89 | Professional | None | $17.78 | $19.50 | $20.89 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $52.48 Typical High $257.04 | Facility | None | $13.80 | $52.48 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $60.26 | Professional | None | $22.39 | $22.39 | $60.26 |
United Setting Facility Modifier None Typical Low $26.30 Median $29.51 Typical High $36.31 | Facility | None | $26.30 | $29.51 | $36.31 |
United Setting Professional Modifier None Typical Low $12.30 Median $17.78 Typical High $43.65 | Professional | None | $12.30 | $17.78 | $43.65 |
Univera Setting Facility Modifier None Typical Low $19.05 Median $29.51 Typical High $63.10 | Facility | None | $19.05 | $29.51 | $63.10 |
Univera Setting Professional Modifier None Typical Low $19.05 Median $29.51 Typical High $38.02 | Professional | None | $19.05 | $29.51 | $38.02 |
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 $10.96 Median $10.96 Typical High $12.59 | Professional | 52 · Reduced service | $10.96 | $10.96 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $4.37 Typical High $5.01 | Professional | 53 · Discontinued | $4.37 | $4.37 | $5.01 |
Where New York sits
The same service costs 4.4 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· 31st of 51
$29.51
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.