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 $28.84 Median $43.65 Typical High $316.23 | Facility | None | $28.84 | $43.65 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $43.65 Typical High $102.33 | Professional | None | $28.84 | $43.65 | $102.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $37.15 Median $43.65 Typical High $104.71 | Professional | None | $37.15 | $43.65 | $104.71 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $54.95 Median $64.57 Typical High $151.36 | Professional | 50 · Both sides | $54.95 | $64.57 | $151.36 |
CDPHP Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $128.82 | Professional | None | $46.77 | $46.77 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $63.10 Typical High $162.18 | Professional | None | $19.95 | $63.10 | $162.18 |
Emblem Health Setting Facility Modifier None Typical Low $19.95 Median $32.36 Typical High $102.33 | Facility | None | $19.95 | $32.36 | $102.33 |
Emblem Health Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $234.42 | Professional | None | $158.49 | $158.49 | $234.42 |
Excellus BCBS Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Excellus BCBS Setting Professional Modifier None Typical Low $87.10 Median $107.15 Typical High $162.18 | Professional | None | $87.10 | $107.15 | $162.18 |
MVP Health Care Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
MVP Health Care Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $190.55 | Professional | None | $64.57 | $64.57 | $190.55 |
United Setting Facility Modifier None Typical Low $758.58 Median $870.96 Typical High $1,071.52 | Facility | None | $758.58 | $870.96 | $1,071.52 |
United Setting Professional Modifier None Typical Low $19.95 Median $53.70 Typical High $125.89 | Professional | None | $19.95 | $53.70 | $125.89 |
Univera Setting Facility Modifier None Typical Low $30.20 Median $87.10 Typical High $104.71 | Facility | None | $30.20 | $87.10 | $104.71 |
Univera Setting Professional Modifier None Typical Low $87.10 Median $107.15 Typical High $158.49 | Professional | None | $87.10 | $107.15 | $158.49 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.45 Median $21.38 Typical High $48.98 | Professional | 52 · Reduced service | $14.45 | $21.38 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $8.71 Typical High $19.50 | Professional | 53 · Discontinued | $5.75 | $8.71 | $19.50 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $64.57 Median $74.13 Typical High $75.86 | Professional | GL · Free upgrade | $64.57 | $74.13 | $75.86 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $50.12 Typical High $109.65 | Professional | 53 · Discontinued | $39.81 | $50.12 | $109.65 |
Where New York sits
The same service costs 4.2 times more in Washington than in Maryland. 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· 50th of 51
$45.71
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.