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 $30.20 Typical High $89.13 | Facility | None | $26.30 | $30.20 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $46.77 | Professional | None | $26.30 | $26.30 | $46.77 |
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 $34.67 Typical High $100.00 | Professional | None | $17.38 | $34.67 | $100.00 |
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 $57.54 Typical High $128.82 | Professional | None | $28.18 | $57.54 | $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 $39.81 | Professional | None | $22.91 | $33.11 | $39.81 |
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 $40.74 Typical High $72.44 | Professional | None | $28.18 | $40.74 | $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 $54.95 | Professional | None | $14.79 | $20.89 | $54.95 |
Univera Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $40.74 | Facility | None | $21.88 | $21.88 | $40.74 |
Univera Setting Professional Modifier None Typical Low $22.91 Median $33.11 Typical High $38.90 | Professional | None | $22.91 | $33.11 | $38.90 |
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 |
|---|---|---|---|---|---|
Fidelis Setting Professional Modifier 59 · Distinct service Typical Low $21.88 Median $21.88 Typical High $22.91 | Professional | 59 · Distinct service | $21.88 | $21.88 | $22.91 |
Highmark BCBS Setting Facility Modifier 59 · Distinct service Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | 59 · Distinct service | $114.82 | $114.82 | $114.82 |
Where New York sits
The same service costs 3.0 times more in Alaska than in Maryland. 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
$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.