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 $19.95 Median $63.10 Typical High $165.96 | Facility | None | $19.95 | $63.10 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $63.10 Typical High $72.44 | Professional | None | $19.95 | $63.10 | $72.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $52.48 Median $63.10 Typical High $79.43 | Professional | None | $52.48 | $63.10 | $79.43 |
CDPHP Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $97.72 | Professional | None | $32.36 | $32.36 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $112.20 Typical High $147.91 | Facility | None | $31.62 | $112.20 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $75.86 Typical High $158.49 | Professional | None | $25.12 | $75.86 | $158.49 |
Emblem Health Setting Facility Modifier None Typical Low $10.96 Median $21.38 Typical High $72.44 | Facility | None | $10.96 | $21.38 | $72.44 |
Emblem Health Setting Professional Modifier None Typical Low $89.13 Median $93.33 Typical High $134.90 | Professional | None | $89.13 | $93.33 | $134.90 |
Excellus BCBS Setting Professional Modifier None Typical Low $50.12 Median $72.44 Typical High $93.33 | Professional | None | $50.12 | $72.44 | $93.33 |
MVP Health Care Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $141.25 | Professional | None | $50.12 | $50.12 | $141.25 |
United Setting Facility Modifier None Typical Low $436.52 Median $501.19 Typical High $616.60 | Facility | None | $436.52 | $501.19 | $616.60 |
United Setting Professional Modifier None Typical Low $17.78 Median $56.23 Typical High $123.03 | Professional | None | $17.78 | $56.23 | $123.03 |
Univera Setting Facility Modifier None Typical Low $18.20 Median $23.99 Typical High $234.42 | Facility | None | $18.20 | $23.99 | $234.42 |
Univera Setting Professional Modifier None Typical Low $48.98 Median $72.44 Typical High $93.33 | Professional | None | $48.98 | $72.44 | $93.33 |
3 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 $10.00 Median $30.90 Typical High $36.31 | Professional | 52 · Reduced service | $10.00 | $30.90 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $12.59 Typical High $14.45 | Professional | 53 · Discontinued | $3.98 | $12.59 | $14.45 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $45.71 Typical High $95.50 | Professional | 53 · Discontinued | $34.67 | $45.71 | $95.50 |
Where New York sits
The same service costs 3.9 times more in Hawaii than in Washington, DC. 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· 28th of 51
$61.66
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.