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 $26.30 Median $33.11 Typical High $107.15 | Facility | None | $26.30 | $33.11 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $30.20 | Professional | None | $26.30 | $26.30 | $30.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $91.20 | Facility | None | $35.48 | $35.48 | $91.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.38 Median $35.48 Typical High $97.72 | Professional | None | $17.38 | $35.48 | $97.72 |
CDPHP Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $91.20 Typical High $380.19 | Facility | None | $41.69 | $91.20 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $47.86 Typical High $128.82 | Professional | None | $28.18 | $47.86 | $128.82 |
Emblem Health Setting Facility Modifier None Typical Low $21.88 Median $35.48 Typical High $79.43 | Facility | None | $21.88 | $35.48 | $79.43 |
Emblem Health Setting Professional Modifier None Typical Low $21.88 Median $29.51 Typical High $46.77 | Professional | None | $21.88 | $29.51 | $46.77 |
Excellus BCBS Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Facility | None | $21.88 | $21.88 | $21.88 |
Excellus BCBS Setting Professional Modifier None Typical Low $22.91 Median $33.11 Typical High $41.69 | Professional | None | $22.91 | $33.11 | $41.69 |
Highmark BCBS Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $131.83 | Facility | None | $60.26 | $60.26 | $131.83 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $46.77 Typical High $257.04 | Facility | None | $13.80 | $46.77 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $28.18 Median $41.69 Typical High $72.44 | Professional | None | $28.18 | $41.69 | $72.44 |
United Setting Facility Modifier None Typical Low $31.62 Median $35.48 Typical High $43.65 | Facility | None | $31.62 | $35.48 | $43.65 |
United Setting Professional Modifier None Typical Low $14.79 Median $20.89 Typical High $58.88 | Professional | None | $14.79 | $20.89 | $58.88 |
Univera Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $89.13 | Facility | None | $21.88 | $21.88 | $89.13 |
Univera Setting Professional Modifier None Typical Low $22.91 Median $33.11 Typical High $39.81 | Professional | None | $22.91 | $33.11 | $39.81 |
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 $12.88 Median $12.88 Typical High $15.14 | Professional | 52 · Reduced service | $12.88 | $12.88 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.25 Typical High $6.03 | Professional | 53 · Discontinued | $5.25 | $5.25 | $6.03 |
Where New York sits
The same service costs 3.2 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· 37th of 51
$31.62
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.