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 $26.92 Median $32.36 Typical High $39.81 | Facility | None | $26.92 | $32.36 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $26.92 Typical High $35.48 | Professional | None | $26.30 | $26.92 | $35.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.30 Median $18.20 Typical High $31.62 | Professional | None | $12.30 | $18.20 | $31.62 |
CDPHP Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None | $20.42 | $20.42 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $95.50 Typical High $281.84 | Facility | None | $47.86 | $95.50 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $45.71 Typical High $151.36 | Professional | None | $17.38 | $45.71 | $151.36 |
Emblem Health Setting Facility Modifier None Typical Low $5.01 Median $20.42 Typical High $79.43 | Facility | None | $5.01 | $20.42 | $79.43 |
Emblem Health Setting Professional Modifier None Typical Low $17.78 Median $22.39 Typical High $38.02 | Professional | None | $17.78 | $22.39 | $38.02 |
Excellus BCBS Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Facility | None | $14.13 | $14.13 | $14.13 |
Excellus BCBS Setting Professional Modifier None Typical Low $14.13 Median $26.92 Typical High $31.62 | Professional | None | $14.13 | $26.92 | $31.62 |
Highmark BCBS Setting Facility Modifier None Typical Low $15.85 Median $478.63 Typical High $794.33 | Facility | None | $15.85 | $478.63 | $794.33 |
Highmark BCBS Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | None | $14.45 | $14.45 | $14.45 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $30.20 Typical High $257.04 | Facility | None | $13.80 | $30.20 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $29.51 | Professional | None | $26.92 | $26.92 | $29.51 |
United Setting Facility Modifier None Typical Low $724.44 Median $831.76 Typical High $1,047.13 | Facility | None | $724.44 | $831.76 | $1,047.13 |
United Setting Professional Modifier None Typical Low $13.18 Median $22.39 Typical High $66.07 | Professional | None | $13.18 | $22.39 | $66.07 |
Univera Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $33.11 | Facility | None | $14.13 | $14.13 | $33.11 |
Univera Setting Professional Modifier None Typical Low $14.13 Median $26.92 Typical High $38.02 | Professional | None | $14.13 | $26.92 | $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 $13.49 Median $13.49 Typical High $17.78 | Professional | 52 · Reduced service | $13.49 | $13.49 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.37 Typical High $7.08 | Professional | 53 · Discontinued | $5.37 | $5.37 | $7.08 |
Where New York sits
The same service costs 10.0 times more in Texas than in Arizona. 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· 48th of 51
$22.39
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.