How much rates vary
Facilitymedian $41 · 10th to 90th $3 to $295Professionalmedian $11 · 10th to 90th $1 to $16
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 $12.02 Median $13.49 Typical High $295.12 | Facility | None | $12.02 | $13.49 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $14.79 Typical High $17.78 | Professional | None | $12.02 | $14.79 | $17.78 |
Ambetter Setting Professional Modifier None Typical Low $9.55 Median $11.48 Typical High $13.80 | Professional | None | $9.55 | $11.48 | $13.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $75.86 Median $239.88 Typical High $309.03 | Facility | None | $75.86 | $239.88 | $309.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.89 Median $10.47 Typical High $13.80 | Professional | None | $0.89 | $10.47 | $13.80 |
CDPHP Setting Professional Modifier None Typical Low $18.62 Median $19.05 Typical High $21.38 | Professional | None | $18.62 | $19.05 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $3.02 Median $20.42 Typical High $128.82 | Facility | None | $3.02 | $20.42 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $3.02 Median $3.39 Typical High $14.13 | Professional | None | $3.02 | $3.39 | $14.13 |
Emblem Health Setting Facility Modifier None Typical Low $0.10 Median $12.88 Typical High $30.90 | Facility | None | $0.10 | $12.88 | $30.90 |
Emblem Health Setting Professional Modifier None Typical Low $10.96 Median $16.98 Typical High $22.91 | Professional | None | $10.96 | $16.98 | $22.91 |
Excellus BCBS Setting Facility Modifier None Typical Low $3.16 Median $3.16 Typical High $5.50 | Facility | None | $3.16 | $3.16 | $5.50 |
Excellus BCBS Setting Professional Modifier None Typical Low $6.92 Median $12.59 Typical High $16.22 | Professional | None | $6.92 | $12.59 | $16.22 |
Fidelis Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $10.72 | Professional | None | $3.39 | $3.39 | $10.72 |
Highmark BCBS Setting Facility Modifier None Typical Low $16.22 Median $16.60 Typical High $40.74 | Facility | None | $16.22 | $16.60 | $40.74 |
Highmark BCBS Setting Professional Modifier None Typical Low $12.88 Median $13.49 Typical High $15.85 | Professional | None | $12.88 | $13.49 | $15.85 |
MVP Health Care Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $1,479.11 | Facility | None | $25.70 | $25.70 | $1,479.11 |
MVP Health Care Setting Professional Modifier None Typical Low $2.00 Median $2.00 Typical High $3.02 | Professional | None | $2.00 | $2.00 | $3.02 |
Optum Setting Professional Modifier None Typical Low $11.22 Median $12.30 Typical High $16.22 | Professional | None | $11.22 | $12.30 | $16.22 |
United Setting Professional Modifier None Typical Low $11.22 Median $12.30 Typical High $16.22 | Professional | None | $11.22 | $12.30 | $16.22 |
Univera Setting Facility Modifier None Typical Low $3.16 Median $5.50 Typical High $13.80 | Facility | None | $3.16 | $5.50 | $13.80 |
Univera Setting Professional Modifier None Typical Low $6.92 Median $12.02 Typical High $16.22 | Professional | None | $6.92 | $12.02 | $16.22 |
13 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 Facility Modifier AF · Specialist physician Typical Low $15.85 Median $17.78 Typical High $19.05 | Facility | AF · Specialist physician | $15.85 | $17.78 | $19.05 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $12.02 Median $13.18 Typical High $14.45 | Facility | HO · Master's level | $12.02 | $13.18 | $14.45 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $13.49 Median $14.79 Typical High $16.22 | Facility | TD · Registered nurse | $13.49 | $14.79 | $16.22 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $6.46 Median $17.78 Typical High $18.62 | Professional | AF · Specialist physician | $6.46 | $17.78 | $18.62 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $4.79 Median $13.18 Typical High $14.13 | Professional | HO · Master's level | $4.79 | $13.18 | $14.13 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $5.50 Median $14.79 Typical High $15.85 | Professional | TD · Registered nurse | $5.50 | $14.79 | $15.85 |
Emblem Health Setting Facility Modifier 59 · Distinct service Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | 59 · Distinct service | $0.10 | $0.10 | $0.10 |
Emblem Health Setting Facility Modifier AF · Specialist physician Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | AF · Specialist physician | $0.10 | $0.10 | $0.10 |
Emblem Health Setting Facility Modifier HF · Substance use program Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | HF · Substance use program | $0.10 | $0.10 | $0.10 |
Emblem Health Setting Facility Modifier HO · Master's level Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | HO · Master's level | $0.10 | $0.10 | $0.10 |
Emblem Health Setting Facility Modifier SA · Nurse practitioner Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | SA · Nurse practitioner | $0.10 | $0.10 | $0.10 |
Emblem Health Setting Facility Modifier U4 · State-defined Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | U4 · State-defined | $0.10 | $0.10 | $0.10 |
Emblem Health Setting Facility Modifier U6 · State-defined Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | U6 · State-defined | $0.10 | $0.10 | $0.10 |
Where New York sits
The same service costs 1.8 times more in Alaska than in Georgia. 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· 37th of 51
$11.48
AK $18.20GA $10.00
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.