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 $18.62 Median $22.39 Typical High $67.61 | Facility | None | $18.62 | $22.39 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $39.81 | Professional | None | $18.62 | $18.62 | $39.81 |
Ambetter Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $69.18 | Facility | None | $26.92 | $26.92 | $69.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.14 Median $32.36 Typical High $74.13 | Professional | None | $15.14 | $32.36 | $74.13 |
CDPHP Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $67.61 Typical High $269.15 | Facility | None | $31.62 | $67.61 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $47.86 Typical High $85.11 | Professional | None | $21.88 | $47.86 | $85.11 |
Emblem Health Setting Facility Modifier None Typical Low $19.05 Median $30.90 Typical High $60.26 | Facility | None | $19.05 | $30.90 | $60.26 |
Emblem Health Setting Professional Modifier None Typical Low $18.62 Median $22.39 Typical High $34.67 | Professional | None | $18.62 | $22.39 | $34.67 |
Excellus BCBS Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
Excellus BCBS Setting Professional Modifier None Typical Low $22.39 Median $26.92 Typical High $34.67 | Professional | None | $22.39 | $26.92 | $34.67 |
Highmark BCBS Setting Facility Modifier None Typical Low $21.38 Median $48.98 Typical High $134.90 | Facility | None | $21.38 | $48.98 | $134.90 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $47.86 Typical High $257.04 | Facility | None | $13.80 | $47.86 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $21.38 Median $25.70 Typical High $54.95 | Professional | None | $21.38 | $25.70 | $54.95 |
United Setting Facility Modifier None Typical Low $23.99 Median $26.92 Typical High $33.11 | Facility | None | $23.99 | $26.92 | $33.11 |
United Setting Professional Modifier None Typical Low $12.02 Median $15.85 Typical High $40.74 | Professional | None | $12.02 | $15.85 | $40.74 |
Univera Setting Facility Modifier None Typical Low $15.85 Median $26.92 Typical High $61.66 | Facility | None | $15.85 | $26.92 | $61.66 |
Univera Setting Professional Modifier None Typical Low $22.39 Median $26.92 Typical High $34.67 | Professional | None | $22.39 | $26.92 | $34.67 |
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 $9.33 Median $9.33 Typical High $11.22 | Professional | 52 · Reduced service | $9.33 | $9.33 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $3.72 Typical High $4.47 | Professional | 53 · Discontinued | $3.72 | $3.72 | $4.47 |
Where New York sits
The same service costs 4.5 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· 43rd of 51
$25.70
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.