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 $100.00 Median $112.20 Typical High $316.23 | Facility | None | $100.00 | $112.20 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $147.91 | Professional | None | $95.50 | $95.50 | $147.91 |
Ambetter Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $331.13 | Facility | None | $128.82 | $128.82 | $331.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $63.10 Median $144.54 Typical High $354.81 | Professional | None | $63.10 | $144.54 | $354.81 |
CDPHP Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None | $128.82 | $128.82 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $275.42 Typical High $371.54 | Facility | None | $125.89 | $275.42 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $218.78 Typical High $467.74 | Professional | None | $95.50 | $218.78 | $467.74 |
Emblem Health Setting Facility Modifier None Typical Low $114.82 Median $165.96 Typical High $288.40 | Facility | None | $114.82 | $165.96 | $288.40 |
Emblem Health Setting Professional Modifier None Typical Low $89.13 Median $109.65 Typical High $186.21 | Professional | None | $89.13 | $109.65 | $186.21 |
Excellus BCBS Setting Professional Modifier None Typical Low $104.71 Median $128.82 Typical High $177.83 | Professional | None | $104.71 | $128.82 | $177.83 |
Highmark BCBS Setting Facility Modifier None Typical Low $85.11 Median $158.49 Typical High $275.42 | Facility | None | $85.11 | $158.49 | $275.42 |
Highmark BCBS Setting Professional Modifier None Typical Low $77.62 Median $81.28 Typical High $85.11 | Professional | None | $77.62 | $81.28 | $85.11 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $229.09 Typical High $257.04 | Facility | None | $13.80 | $229.09 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $102.33 Median $131.83 Typical High $263.03 | Professional | None | $102.33 | $131.83 | $263.03 |
United Setting Facility Modifier None Typical Low $114.82 Median $128.82 Typical High $162.18 | Facility | None | $114.82 | $128.82 | $162.18 |
United Setting Professional Modifier None Typical Low $53.70 Median $77.62 Typical High $194.98 | Professional | None | $53.70 | $77.62 | $194.98 |
Univera Setting Facility Modifier None Typical Low $85.11 Median $147.91 Typical High $229.09 | Facility | None | $85.11 | $147.91 | $229.09 |
Univera Setting Professional Modifier None Typical Low $85.11 Median $128.82 Typical High $144.54 | Professional | None | $85.11 | $128.82 | $144.54 |
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 $47.86 Median $47.86 Typical High $54.95 | Professional | 52 · Reduced service | $47.86 | $47.86 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $22.39 | Professional | 53 · Discontinued | $19.05 | $19.05 | $22.39 |
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· 31st of 51
$123
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.