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 $70.79 Median $87.10 Typical High $107.15 | Facility | None | $70.79 | $87.10 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $95.50 | Professional | None | $70.79 | $70.79 | $95.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $61.66 Median $72.44 Typical High $81.28 | Professional | None | $61.66 | $72.44 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $151.36 Typical High $151.36 | Facility | None | $97.72 | $151.36 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $81.28 Typical High $154.88 | Professional | None | $69.18 | $81.28 | $154.88 |
Emblem Health Setting Facility Modifier None Typical Low $75.86 Median $100.00 Typical High $169.82 | Facility | None | $75.86 | $100.00 | $169.82 |
Emblem Health Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $128.82 | Professional | None | $89.13 | $89.13 | $128.82 |
Excellus BCBS Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Excellus BCBS Setting Professional Modifier None Typical Low $63.10 Median $89.13 Typical High $112.20 | Professional | None | $63.10 | $89.13 | $112.20 |
Highmark BCBS Setting Facility Modifier None Typical Low $489.78 Median $512.86 Typical High $512.86 | Facility | None | $489.78 | $512.86 | $512.86 |
MVP Health Care Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
United Setting Professional Modifier None Typical Low $66.07 Median $81.28 Typical High $123.03 | Professional | None | $66.07 | $81.28 | $123.03 |
Univera Setting Facility Modifier None Typical Low $74.13 Median $97.72 Typical High $288.40 | Facility | None | $74.13 | $97.72 | $288.40 |
Univera Setting Professional Modifier None Typical Low $61.66 Median $79.43 Typical High $104.71 | Professional | None | $61.66 | $79.43 | $104.71 |
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 $35.48 Median $35.48 Typical High $47.86 | Professional | 52 · Reduced service | $35.48 | $35.48 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $19.05 | Professional | 53 · Discontinued | $14.13 | $14.13 | $19.05 |
Where New York sits
The same service costs 4.3 times more in Alaska than in Pennsylvania. 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· 49th of 51
$75.86
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.