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 $25.70 Median $38.90 Typical High $190.55 | Facility | None | $25.70 | $38.90 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $36.31 | Professional | None | $25.70 | $25.70 | $36.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $109.65 | Facility | None | $42.66 | $42.66 | $109.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.50 Median $41.69 Typical High $104.71 | Professional | None | $19.50 | $41.69 | $104.71 |
CDPHP Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $104.71 Typical High $380.19 | Facility | None | $41.69 | $104.71 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $60.26 Typical High $181.97 | Professional | None | $25.70 | $60.26 | $181.97 |
Emblem Health Setting Facility Modifier None Typical Low $28.84 Median $46.77 Typical High $95.50 | Facility | None | $28.84 | $46.77 | $95.50 |
Emblem Health Setting Professional Modifier None Typical Low $29.51 Median $36.31 Typical High $61.66 | Professional | None | $29.51 | $36.31 | $61.66 |
Excellus BCBS Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
Excellus BCBS Setting Professional Modifier None Typical Low $36.31 Median $42.66 Typical High $54.95 | Professional | None | $36.31 | $42.66 | $54.95 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $75.86 Typical High $257.04 | Facility | None | $13.80 | $75.86 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $28.18 Median $87.10 Typical High $251.19 | Professional | None | $28.18 | $87.10 | $251.19 |
United Setting Facility Modifier None Typical Low $38.02 Median $42.66 Typical High $52.48 | Facility | None | $38.02 | $42.66 | $52.48 |
United Setting Professional Modifier None Typical Low $19.05 Median $25.70 Typical High $75.86 | Professional | None | $19.05 | $25.70 | $75.86 |
Univera Setting Facility Modifier None Typical Low $25.12 Median $42.66 Typical High $79.43 | Facility | None | $25.12 | $42.66 | $79.43 |
Univera Setting Professional Modifier None Typical Low $36.31 Median $42.66 Typical High $54.95 | Professional | None | $36.31 | $42.66 | $54.95 |
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 $18.20 | Professional | 52 · Reduced service | $12.88 | $12.88 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.13 Typical High $7.24 | Professional | 53 · Discontinued | $5.13 | $5.13 | $7.24 |
Where New York sits
The same service costs 3.2 times more in Alaska than in New Jersey. 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· 34th of 51
$42.66
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.