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 $104.71 Median $147.91 Typical High $380.19 | Facility | None | $104.71 | $147.91 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $125.89 Typical High $125.89 | Professional | None | $104.71 | $125.89 | $125.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $61.66 | Professional | None | $6.03 | $6.03 | $61.66 |
CDPHP Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $117.49 Typical High $288.40 | Facility | None | $72.44 | $117.49 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $114.82 Typical High $380.19 | Professional | None | $75.86 | $114.82 | $380.19 |
Emblem Health Setting Facility Modifier None Typical Low $79.43 Median $102.33 Typical High $177.83 | Facility | None | $79.43 | $102.33 | $177.83 |
Emblem Health Setting Professional Modifier None Typical Low $39.81 Median $61.66 Typical High $154.88 | Professional | None | $39.81 | $61.66 | $154.88 |
Excellus BCBS Setting Professional Modifier None Typical Low $52.48 Median $79.43 Typical High $104.71 | Professional | None | $52.48 | $79.43 | $104.71 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $144.54 Typical High $257.04 | Facility | None | $13.80 | $144.54 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $60.26 Median $69.18 Typical High $162.18 | Professional | None | $60.26 | $69.18 | $162.18 |
United Setting Facility Modifier None Typical Low $72.44 Median $79.43 Typical High $100.00 | Facility | None | $72.44 | $79.43 | $100.00 |
United Setting Professional Modifier None Typical Low $35.48 Median $60.26 Typical High $162.18 | Professional | None | $35.48 | $60.26 | $162.18 |
Univera Setting Facility Modifier None Typical Low $52.48 Median $91.20 Typical High $147.91 | Facility | None | $52.48 | $91.20 | $147.91 |
Univera Setting Professional Modifier None Typical Low $52.48 Median $79.43 Typical High $112.20 | Professional | None | $52.48 | $79.43 | $112.20 |
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 $52.48 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $52.48 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $20.89 | $25.12 | $25.12 |
Where New York sits
The same service costs 24.0 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· 39th 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.