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 $31.62 Median $40.74 Typical High $131.83 | Facility | None | $31.62 | $40.74 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $37.15 | Professional | None | $31.62 | $31.62 | $37.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $112.20 | Facility | None | $42.66 | $42.66 | $112.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.38 Median $42.66 Typical High $120.23 | Professional | None | $21.38 | $42.66 | $120.23 |
CDPHP Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $109.65 Typical High $467.74 | Facility | None | $51.29 | $109.65 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $57.54 Typical High $158.49 | Professional | None | $33.88 | $57.54 | $158.49 |
Emblem Health Setting Facility Modifier None Typical Low $26.92 Median $48.98 Typical High $95.50 | Facility | None | $26.92 | $48.98 | $95.50 |
Emblem Health Setting Professional Modifier None Typical Low $30.20 Median $36.31 Typical High $61.66 | Professional | None | $30.20 | $36.31 | $61.66 |
Excellus BCBS Setting Professional Modifier None Typical Low $33.11 Median $42.66 Typical High $56.23 | Professional | None | $33.11 | $42.66 | $56.23 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $77.62 Typical High $257.04 | Facility | None | $13.80 | $77.62 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $34.67 Median $79.43 Typical High $89.13 | Professional | None | $34.67 | $79.43 | $89.13 |
United Setting Facility Modifier None Typical Low $38.90 Median $42.66 Typical High $53.70 | Facility | None | $38.90 | $42.66 | $53.70 |
United Setting Professional Modifier None Typical Low $17.78 Median $25.70 Typical High $66.07 | Professional | None | $17.78 | $25.70 | $66.07 |
Univera Setting Facility Modifier None Typical Low $28.18 Median $48.98 Typical High $147.91 | Facility | None | $28.18 | $48.98 | $147.91 |
Univera Setting Professional Modifier None Typical Low $28.18 Median $42.66 Typical High $47.86 | Professional | None | $28.18 | $42.66 | $47.86 |
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 $15.85 Median $15.85 Typical High $18.62 | Professional | 52 · Reduced service | $15.85 | $15.85 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.31 Typical High $7.41 | Professional | 53 · Discontinued | $6.31 | $6.31 | $7.41 |
Where New York sits
The same service costs 3.3 times more in Alaska than in Delaware. 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· 38th of 51
$40.74
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.