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 $14.79 Median $22.91 Typical High $67.61 | Facility | None | $14.79 | $22.91 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $30.90 | Professional | None | $14.13 | $14.13 | $30.90 |
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 $10.72 Median $29.51 Typical High $63.10 | Professional | None | $10.72 | $29.51 | $63.10 |
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 $26.30 Median $67.61 Typical High $204.17 | Facility | None | $26.30 | $67.61 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $16.60 Median $25.70 Typical High $93.33 | Professional | None | $16.60 | $25.70 | $93.33 |
Emblem Health Setting Facility Modifier None Typical Low $10.72 Median $26.92 Typical High $60.26 | Facility | None | $10.72 | $26.92 | $60.26 |
Emblem Health Setting Professional Modifier None Typical Low $15.85 Median $22.91 Typical High $38.90 | Professional | None | $15.85 | $22.91 | $38.90 |
Excellus BCBS Setting Facility Modifier None Typical Low $5.01 Median $5.01 Typical High $5.01 | Facility | None | $5.01 | $5.01 | $5.01 |
Excellus BCBS Setting Professional Modifier None Typical Low $6.46 Median $25.70 Typical High $30.90 | Professional | None | $6.46 | $25.70 | $30.90 |
Highmark BCBS Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
MVP Health Care Setting Facility Modifier None Typical Low $10.96 Median $34.67 Typical High $257.04 | Facility | None | $10.96 | $34.67 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $13.49 Median $15.14 Typical High $54.95 | Professional | None | $13.49 | $15.14 | $54.95 |
United Setting Facility Modifier None Typical Low $23.99 Median $26.92 Typical High $33.88 | Facility | None | $23.99 | $26.92 | $33.88 |
United Setting Professional Modifier None Typical Low $12.02 Median $16.22 Typical High $44.67 | Professional | None | $12.02 | $16.22 | $44.67 |
Univera Setting Facility Modifier None Typical Low $5.01 Median $5.01 Typical High $52.48 | Facility | None | $5.01 | $5.01 | $52.48 |
Univera Setting Professional Modifier None Typical Low $5.25 Median $25.70 Typical High $30.90 | Professional | None | $5.25 | $25.70 | $30.90 |
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 $7.08 Median $7.08 Typical High $11.48 | Professional | 52 · Reduced service | $7.08 | $7.08 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $2.82 Typical High $4.57 | Professional | 53 · Discontinued | $2.82 | $2.82 | $4.57 |
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· 38th of 51
$22.91
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.