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 $34.67 Typical High $102.33 | Facility | None | $26.30 | $34.67 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $44.67 | Professional | None | $26.30 | $26.30 | $44.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $104.71 | Facility | None | $40.74 | $40.74 | $104.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.38 Median $42.66 Typical High $102.33 | Professional | None | $17.38 | $42.66 | $102.33 |
CDPHP Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $100.00 Typical High $147.91 | Facility | None | $39.81 | $100.00 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $60.26 Typical High $147.91 | Professional | None | $26.30 | $60.26 | $147.91 |
Emblem Health Setting Facility Modifier None Typical Low $30.90 Median $48.98 Typical High $91.20 | Facility | None | $30.90 | $48.98 | $91.20 |
Emblem Health Setting Professional Modifier None Typical Low $28.18 Median $34.67 Typical High $53.70 | Professional | None | $28.18 | $34.67 | $53.70 |
Excellus BCBS Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
Excellus BCBS Setting Professional Modifier None Typical Low $28.18 Median $38.90 Typical High $44.67 | Professional | None | $28.18 | $38.90 | $44.67 |
Highmark BCBS Setting Facility Modifier None Typical Low $23.44 Median $104.71 Typical High $123.03 | Facility | None | $23.44 | $104.71 | $123.03 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $60.26 Typical High $257.04 | Facility | None | $13.80 | $60.26 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $28.18 Median $63.10 Typical High $83.18 | Professional | None | $28.18 | $63.10 | $83.18 |
United Setting Facility Modifier None Typical Low $36.31 Median $40.74 Typical High $50.12 | Facility | None | $36.31 | $40.74 | $50.12 |
United Setting Professional Modifier None Typical Low $16.98 Median $23.99 Typical High $61.66 | Professional | None | $16.98 | $23.99 | $61.66 |
Univera Setting Facility Modifier None Typical Low $26.92 Median $28.18 Typical High $46.77 | Facility | None | $26.92 | $28.18 | $46.77 |
Univera Setting Professional Modifier None Typical Low $28.18 Median $38.90 Typical High $44.67 | Professional | None | $28.18 | $38.90 | $44.67 |
3 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 $17.38 | Professional | 52 · Reduced service | $12.88 | $12.88 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.25 Typical High $6.92 | Professional | 53 · Discontinued | $5.25 | $5.25 | $6.92 |
Ambetter Setting Professional Modifier XS · Separate structure Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | XS · Separate structure | $41.69 | $41.69 | $41.69 |
Where New York sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 36th of 51
$36.31
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.