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 $87.10 Median $131.83 Typical High $173.78 | Facility | None | $87.10 | $131.83 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $141.25 Typical High $173.78 | Professional | None | $107.15 | $141.25 | $173.78 |
Ambetter Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None | $239.88 | $239.88 | $239.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $117.49 Median $144.54 Typical High $162.18 | Professional | None | $117.49 | $144.54 | $162.18 |
CDPHP Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $239.88 | Professional | None | $177.83 | $177.83 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $123.03 Typical High $363.08 | Professional | None | $87.10 | $123.03 | $363.08 |
Emblem Health Setting Facility Modifier None Typical Low $0.10 Median $104.71 Typical High $288.40 | Facility | None | $0.10 | $104.71 | $288.40 |
Emblem Health Setting Professional Modifier None Typical Low $79.43 Median $89.13 Typical High $104.71 | Professional | None | $79.43 | $89.13 | $104.71 |
Excellus BCBS Setting Facility Modifier None Typical Low $114.82 Median $144.54 Typical High $151.36 | Facility | None | $114.82 | $144.54 | $151.36 |
Excellus BCBS Setting Professional Modifier None Typical Low $77.62 Median $141.25 Typical High $173.78 | Professional | None | $77.62 | $141.25 | $173.78 |
MVP Health Care Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $208.93 | Professional | None | $117.49 | $117.49 | $208.93 |
United Setting Facility Modifier None Typical Low $354.81 Median $416.87 Typical High $512.86 | Facility | None | $354.81 | $416.87 | $512.86 |
United Setting Professional Modifier None Typical Low $104.71 Median $147.91 Typical High $323.59 | Professional | None | $104.71 | $147.91 | $323.59 |
Univera Setting Facility Modifier None Typical Low $114.82 Median $138.04 Typical High $398.11 | Facility | None | $114.82 | $138.04 | $398.11 |
Univera Setting Professional Modifier None Typical Low $77.62 Median $138.04 Typical High $173.78 | Professional | None | $77.62 | $138.04 | $173.78 |
4 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 |
|---|---|---|---|---|---|
Emblem Health Setting Facility Modifier HG · Opioid treatment program Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | HG · Opioid treatment 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 Professional Modifier HG · Opioid treatment program Typical Low $70.79 Median $70.79 Typical High $104.71 | Professional | HG · Opioid treatment program | $70.79 | $70.79 | $104.71 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $114.82 Typical High $213.80 | Professional | 53 · Discontinued | $87.10 | $114.82 | $213.80 |
Where New York sits
The same service costs 2.4 times more in Alaska than in Kentucky. 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· 39th of 51
$141
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.