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 $15.14 Median $100.00 Typical High $295.12 | Facility | None | $15.14 | $100.00 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $138.04 | Professional | None | $15.14 | $15.14 | $138.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $302.00 | Facility | None | $117.49 | $117.49 | $302.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $64.57 Median $83.18 Typical High $263.03 | Professional | None | $64.57 | $83.18 | $263.03 |
CDPHP Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None | $117.49 | $117.49 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $251.19 Typical High $323.59 | Facility | None | $138.04 | $251.19 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $158.49 Typical High $338.84 | Professional | None | $95.50 | $158.49 | $338.84 |
Emblem Health Setting Facility Modifier None Typical Low $64.57 Median $134.90 Typical High $263.03 | Facility | None | $64.57 | $134.90 | $263.03 |
Emblem Health Setting Professional Modifier None Typical Low $69.18 Median $97.72 Typical High $151.36 | Professional | None | $69.18 | $97.72 | $151.36 |
Excellus BCBS Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Excellus BCBS Setting Professional Modifier None Typical Low $51.29 Median $109.65 Typical High $134.90 | Professional | None | $51.29 | $109.65 | $134.90 |
Highmark BCBS Setting Facility Modifier None Typical Low $33.88 Median $234.42 Typical High $537.03 | Facility | None | $33.88 | $234.42 | $537.03 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $151.36 Typical High $257.04 | Facility | None | $13.80 | $151.36 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $33.88 Median $190.55 Typical High $239.88 | Professional | None | $33.88 | $190.55 | $239.88 |
United Setting Facility Modifier None Typical Low $104.71 Median $117.49 Typical High $144.54 | Facility | None | $104.71 | $117.49 | $144.54 |
United Setting Professional Modifier None Typical Low $51.29 Median $69.18 Typical High $177.83 | Professional | None | $51.29 | $69.18 | $177.83 |
Univera Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $323.59 | Facility | None | $40.74 | $40.74 | $323.59 |
Univera Setting Professional Modifier None Typical Low $51.29 Median $109.65 Typical High $134.90 | Professional | None | $51.29 | $109.65 | $134.90 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.59 Median $7.59 Typical High $48.98 | Professional | 52 · Reduced service | $7.59 | $7.59 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.02 Typical High $19.95 | Professional | 53 · Discontinued | $3.02 | $3.02 | $19.95 |
Where New York sits
The same service costs 6.3 times more in Alaska than in Alabama. 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· 46th of 51
$100
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.