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 $36.31 Median $46.77 Typical High $173.78 | Facility | None | $36.31 | $46.77 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $44.67 | Professional | None | $36.31 | $36.31 | $44.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $128.82 | Facility | None | $48.98 | $48.98 | $128.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.99 Median $38.02 Typical High $128.82 | Professional | None | $23.99 | $38.02 | $128.82 |
CDPHP Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None | $48.98 | $48.98 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $117.49 Typical High $524.81 | Facility | None | $47.86 | $117.49 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $66.07 Typical High $323.59 | Professional | None | $34.67 | $66.07 | $323.59 |
Emblem Health Setting Facility Modifier None Typical Low $32.36 Median $52.48 Typical High $109.65 | Facility | None | $32.36 | $52.48 | $109.65 |
Emblem Health Setting Professional Modifier None Typical Low $22.91 Median $29.51 Typical High $95.50 | Professional | None | $22.91 | $29.51 | $95.50 |
Excellus BCBS Setting Professional Modifier None Typical Low $32.36 Median $48.98 Typical High $53.70 | Professional | None | $32.36 | $48.98 | $53.70 |
Highmark BCBS Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $72.44 | Facility | None | $38.90 | $38.90 | $72.44 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $89.13 Typical High $257.04 | Facility | None | $13.80 | $89.13 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $102.33 | Professional | None | $38.90 | $38.90 | $102.33 |
United Setting Facility Modifier None Typical Low $43.65 Median $48.98 Typical High $120.23 | Facility | None | $43.65 | $48.98 | $120.23 |
United Setting Professional Modifier None Typical Low $20.42 Median $29.51 Typical High $75.86 | Professional | None | $20.42 | $29.51 | $75.86 |
Univera Setting Facility Modifier None Typical Low $32.36 Median $56.23 Typical High $165.96 | Facility | None | $32.36 | $56.23 | $165.96 |
Univera Setting Professional Modifier None Typical Low $32.36 Median $48.98 Typical High $56.23 | Professional | None | $32.36 | $48.98 | $56.23 |
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 $18.20 Median $18.20 Typical High $20.89 | Professional | 52 · Reduced service | $18.20 | $18.20 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.24 Typical High $8.32 | Professional | 53 · Discontinued | $7.24 | $7.24 | $8.32 |
Where New York sits
The same service costs 3.5 times more in Kansas than in Rhode Island. 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· 33rd of 51
$43.65
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.