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 $21.88 Median $48.98 Typical High $95.50 | Facility | None | $21.88 | $48.98 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $48.98 | Professional | None | $38.02 | $38.02 | $48.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $27.54 Median $32.36 Typical High $36.31 | Professional | None | $27.54 | $32.36 | $36.31 |
CDPHP Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $66.07 | Professional | None | $30.20 | $30.20 | $66.07 |
Emblem Health Setting Facility Modifier None Typical Low $51.29 Median $83.18 Typical High $194.98 | Facility | None | $51.29 | $83.18 | $194.98 |
Emblem Health Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $72.44 | Professional | None | $56.23 | $56.23 | $72.44 |
Excellus BCBS Setting Professional Modifier None Typical Low $35.48 Median $38.02 Typical High $54.95 | Professional | None | $35.48 | $38.02 | $54.95 |
MVP Health Care Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $54.95 | Professional | None | $21.88 | $21.88 | $54.95 |
United Setting Facility Modifier None Typical Low $269.15 Median $309.03 Typical High $380.19 | Facility | None | $269.15 | $309.03 | $380.19 |
United Setting Professional Modifier None Typical Low $26.30 Median $33.88 Typical High $45.71 | Professional | None | $26.30 | $33.88 | $45.71 |
Univera Setting Facility Modifier None Typical Low $34.67 Median $46.77 Typical High $69.18 | Facility | None | $34.67 | $46.77 | $69.18 |
Univera Setting Professional Modifier None Typical Low $24.55 Median $38.02 Typical High $50.12 | Professional | None | $24.55 | $38.02 | $50.12 |
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 $21.38 Median $30.20 Typical High $43.65 | Professional | 53 · Discontinued | $21.38 | $30.20 | $43.65 |
Where New York sits
The same service costs 5.2 times more in Alaska than in North Carolina. 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· 45th of 51
$33.11
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.