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 $29.51 Median $54.95 Typical High $281.84 | Facility | None | $29.51 | $54.95 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $54.95 | Professional | None | $29.51 | $29.51 | $54.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $165.96 | Facility | None | $64.57 | $64.57 | $165.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.70 Median $53.70 Typical High $131.83 | Professional | None | $25.70 | $53.70 | $131.83 |
CDPHP Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $138.04 Typical High $186.21 | Facility | None | $63.10 | $138.04 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $74.13 Typical High $309.03 | Professional | None | $31.62 | $74.13 | $309.03 |
Emblem Health Setting Facility Modifier None Typical Low $32.36 Median $64.57 Typical High $144.54 | Facility | None | $32.36 | $64.57 | $144.54 |
Emblem Health Setting Professional Modifier None Typical Low $30.20 Median $38.90 Typical High $125.89 | Professional | None | $30.20 | $38.90 | $125.89 |
Excellus BCBS Setting Professional Modifier None Typical Low $30.20 Median $61.66 Typical High $70.79 | Professional | None | $30.20 | $61.66 | $70.79 |
Highmark BCBS Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $177.83 | Facility | None | $51.29 | $51.29 | $177.83 |
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 $41.69 Median $41.69 Typical High $131.83 | Professional | None | $41.69 | $41.69 | $131.83 |
United Setting Facility Modifier None Typical Low $57.54 Median $64.57 Typical High $79.43 | Facility | None | $57.54 | $64.57 | $79.43 |
United Setting Professional Modifier None Typical Low $26.92 Median $30.90 Typical High $95.50 | Professional | None | $26.92 | $30.90 | $95.50 |
Univera Setting Facility Modifier None Typical Low $41.69 Median $74.13 Typical High $97.72 | Facility | None | $41.69 | $74.13 | $97.72 |
Univera Setting Professional Modifier None Typical Low $30.20 Median $61.66 Typical High $72.44 | Professional | None | $30.20 | $61.66 | $72.44 |
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 $14.79 Median $14.79 Typical High $27.54 | Professional | 52 · Reduced service | $14.79 | $14.79 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $5.89 Typical High $10.96 | Professional | 53 · Discontinued | $5.89 | $5.89 | $10.96 |
Where New York sits
The same service costs 6.0 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· 28th of 51
$53.70
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.