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 $45.71 Median $81.28 Typical High $295.12 | Facility | None | $45.71 | $81.28 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $81.28 | Professional | None | $45.71 | $45.71 | $81.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $251.19 | Facility | None | $95.50 | $95.50 | $251.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $39.81 Median $83.18 Typical High $204.17 | Professional | None | $39.81 | $83.18 | $204.17 |
CDPHP Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None | $95.50 | $95.50 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $204.17 Typical High $275.42 | Facility | None | $93.33 | $204.17 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $120.23 Typical High $457.09 | Professional | None | $60.26 | $120.23 | $457.09 |
Emblem Health Setting Facility Modifier None Typical Low $48.98 Median $95.50 Typical High $213.80 | Facility | None | $48.98 | $95.50 | $213.80 |
Emblem Health Setting Professional Modifier None Typical Low $44.67 Median $57.54 Typical High $186.21 | Professional | None | $44.67 | $57.54 | $186.21 |
Excellus BCBS Setting Professional Modifier None Typical Low $63.10 Median $95.50 Typical High $125.89 | Professional | None | $63.10 | $95.50 | $125.89 |
Highmark BCBS Setting Facility Modifier None Typical Low $186.21 Median $275.42 Typical High $363.08 | Facility | None | $186.21 | $275.42 | $363.08 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $173.78 Typical High $257.04 | Facility | None | $13.80 | $173.78 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $194.98 | Professional | None | $64.57 | $64.57 | $194.98 |
United Setting Facility Modifier None Typical Low $85.11 Median $95.50 Typical High $120.23 | Facility | None | $85.11 | $95.50 | $120.23 |
United Setting Professional Modifier None Typical Low $39.81 Median $57.54 Typical High $144.54 | Professional | None | $39.81 | $57.54 | $144.54 |
Univera Setting Facility Modifier None Typical Low $63.10 Median $109.65 Typical High $218.78 | Facility | None | $63.10 | $109.65 | $218.78 |
Univera Setting Professional Modifier None Typical Low $63.10 Median $95.50 Typical High $128.82 | Professional | None | $63.10 | $95.50 | $128.82 |
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 $22.91 Median $22.91 Typical High $40.74 | Professional | 52 · Reduced service | $22.91 | $22.91 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $16.22 | Professional | 53 · Discontinued | $9.12 | $9.12 | $16.22 |
Where New York sits
The same service costs 5.4 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· 32nd of 51
$81.28
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.