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 $47.86 Median $63.10 Typical High $138.04 | Facility | None | $47.86 | $63.10 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $70.79 | Professional | None | $52.48 | $52.48 | $70.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $57.54 | Professional | None | $41.69 | $50.12 | $57.54 |
CDPHP Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $87.10 | Professional | None | $85.11 | $85.11 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $151.36 | Facility | None | $87.10 | $87.10 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $48.98 Typical High $81.28 | Professional | None | $38.02 | $48.98 | $81.28 |
Emblem Health Setting Facility Modifier None Typical Low $38.02 Median $57.54 Typical High $190.55 | Facility | None | $38.02 | $57.54 | $190.55 |
Emblem Health Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $46.77 | Professional | None | $38.02 | $38.02 | $46.77 |
Excellus BCBS Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Excellus BCBS Setting Professional Modifier None Typical Low $28.18 Median $50.12 Typical High $63.10 | Professional | None | $28.18 | $50.12 | $63.10 |
MVP Health Care Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $87.10 | Professional | None | $50.12 | $50.12 | $87.10 |
United Setting Professional Modifier None Typical Low $42.66 Median $61.66 Typical High $141.25 | Professional | None | $42.66 | $61.66 | $141.25 |
Univera Setting Facility Modifier None Typical Low $33.11 Median $57.54 Typical High $218.78 | Facility | None | $33.11 | $57.54 | $218.78 |
Univera Setting Professional Modifier None Typical Low $28.18 Median $50.12 Typical High $63.10 | Professional | None | $28.18 | $50.12 | $63.10 |
1 more rate 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 |
|---|---|---|---|---|---|
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $41.69 Typical High $77.62 | Professional | 53 · Discontinued | $31.62 | $41.69 | $77.62 |
Where New York sits
The same service costs 3.4 times more in Alaska than in New Mexico. 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· 41st of 51
$52.48
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.