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 $25.12 Median $33.11 Typical High $120.23 | Facility | None | $25.12 | $33.11 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $33.11 | Professional | None | $25.12 | $25.12 | $33.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.45 Median $17.38 Typical High $24.55 | Professional | None | $14.45 | $17.38 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $109.65 Typical High $199.53 | Facility | None | $45.71 | $109.65 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $44.67 Typical High $97.72 | Professional | None | $19.50 | $44.67 | $97.72 |
Emblem Health Setting Facility Modifier None Typical Low $6.46 Median $10.47 Typical High $29.51 | Facility | None | $6.46 | $10.47 | $29.51 |
Emblem Health Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $19.95 | Professional | None | $11.22 | $11.22 | $19.95 |
Excellus BCBS Setting Professional Modifier None Typical Low $17.78 Median $27.54 Typical High $30.20 | Professional | None | $17.78 | $27.54 | $30.20 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $19.95 Typical High $257.04 | Facility | None | $13.80 | $19.95 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
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 $15.49 Median $20.89 Typical High $30.90 | Professional | None | $15.49 | $20.89 | $30.90 |
Univera Setting Facility Modifier None Typical Low $13.18 Median $25.12 Typical High $31.62 | Facility | None | $13.18 | $25.12 | $31.62 |
Univera Setting Professional Modifier None Typical Low $16.22 Median $27.54 Typical High $30.20 | Professional | None | $16.22 | $27.54 | $30.20 |
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 $12.59 Median $12.59 Typical High $16.60 | Professional | 52 · Reduced service | $12.59 | $12.59 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.01 Typical High $6.76 | Professional | 53 · Discontinued | $5.01 | $5.01 | $6.76 |
Where New York sits
The same service costs 11.7 times more in Alaska than in Pennsylvania. 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
$19.95
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.