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 $22.91 Median $28.18 Typical High $43.65 | Facility | None | $22.91 | $28.18 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $30.90 | Professional | None | $22.91 | $22.91 | $30.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.23 Median $15.85 Typical High $30.20 | Professional | None | $10.23 | $15.85 | $30.20 |
CDPHP Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $83.18 Typical High $199.53 | Facility | None | $41.69 | $83.18 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $39.81 Typical High $128.82 | Professional | None | $14.79 | $39.81 | $128.82 |
Emblem Health Setting Facility Modifier None Typical Low $7.59 Median $12.02 Typical High $26.92 | Facility | None | $7.59 | $12.02 | $26.92 |
Emblem Health Setting Professional Modifier None Typical Low $6.03 Median $7.59 Typical High $12.88 | Professional | None | $6.03 | $7.59 | $12.88 |
Excellus BCBS Setting Professional Modifier None Typical Low $16.22 Median $25.12 Typical High $46.77 | Professional | None | $16.22 | $25.12 | $46.77 |
Highmark BCBS Setting Facility Modifier None Typical Low $27.54 Median $91.20 Typical High $426.58 | Facility | None | $27.54 | $91.20 | $426.58 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $54.95 Typical High $257.04 | Facility | None | $13.80 | $54.95 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $23.99 | Professional | None | $21.88 | $21.88 | $23.99 |
United Setting Facility Modifier None Typical Low $338.84 Median $398.11 Typical High $489.78 | Facility | None | $338.84 | $398.11 | $489.78 |
United Setting Professional Modifier None Typical Low $11.48 Median $19.05 Typical High $57.54 | Professional | None | $11.48 | $19.05 | $57.54 |
Univera Setting Facility Modifier None Typical Low $10.72 Median $23.99 Typical High $85.11 | Facility | None | $10.72 | $23.99 | $85.11 |
Univera Setting Professional Modifier None Typical Low $16.22 Median $25.12 Typical High $46.77 | Professional | None | $16.22 | $25.12 | $46.77 |
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 $11.48 Median $11.48 Typical High $15.14 | Professional | 52 · Reduced service | $11.48 | $11.48 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $4.57 Typical High $6.17 | Professional | 53 · Discontinued | $4.57 | $4.57 | $6.17 |
Where New York sits
The same service costs 8.5 times more in Alaska 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· 47th of 51
$20.42
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.