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 $30.20 Median $41.69 Typical High $91.20 | Facility | None | $30.20 | $41.69 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $41.69 | Professional | None | $31.62 | $31.62 | $41.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $29.51 Median $34.67 Typical High $38.90 | Professional | None | $29.51 | $34.67 | $38.90 |
CDPHP Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $58.88 | Professional | None | $25.70 | $25.70 | $58.88 |
Emblem Health Setting Facility Modifier None Typical Low $19.50 Median $42.66 Typical High $154.88 | Facility | None | $19.50 | $42.66 | $154.88 |
Emblem Health Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $66.07 | Professional | None | $46.77 | $46.77 | $66.07 |
Excellus BCBS Setting Professional Modifier None Typical Low $30.20 Median $32.36 Typical High $64.57 | Professional | None | $30.20 | $32.36 | $64.57 |
MVP Health Care Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
MVP Health Care Setting Professional Modifier None Typical Low $37.15 Median $64.57 Typical High $64.57 | Professional | None | $37.15 | $64.57 | $64.57 |
United Setting Facility Modifier None Typical Low $117.49 Median $138.04 Typical High $169.82 | Facility | None | $117.49 | $138.04 | $169.82 |
United Setting Professional Modifier None Typical Low $23.44 Median $28.84 Typical High $43.65 | Professional | None | $23.44 | $28.84 | $43.65 |
Univera Setting Facility Modifier None Typical Low $35.48 Median $42.66 Typical High $194.98 | Facility | None | $35.48 | $42.66 | $194.98 |
Univera Setting Professional Modifier None Typical Low $30.20 Median $33.11 Typical High $66.07 | Professional | None | $30.20 | $33.11 | $66.07 |
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 $15.85 Median $28.18 Typical High $37.15 | Professional | 53 · Discontinued | $15.85 | $28.18 | $37.15 |
Where New York sits
The same service costs 3.3 times more in Alaska than in Florida. 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
$33.88
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.