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 $33.88 Median $46.77 Typical High $181.97 | Facility | None | $33.88 | $46.77 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $46.77 | Professional | None | $33.88 | $33.88 | $46.77 |
Ambetter Setting Professional Modifier None Typical Low $45.71 Median $52.48 Typical High $56.23 | Professional | None | $45.71 | $52.48 | $56.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $36.31 Median $42.66 Typical High $46.77 | Professional | None | $36.31 | $42.66 | $46.77 |
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 $75.86 Median $75.86 Typical High $107.15 | Facility | None | $75.86 | $75.86 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $45.71 Typical High $48.98 | Professional | None | $40.74 | $45.71 | $48.98 |
Emblem Health Setting Facility Modifier None Typical Low $14.13 Median $56.23 Typical High $194.98 | Facility | None | $14.13 | $56.23 | $194.98 |
Emblem Health Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $77.62 | Professional | None | $58.88 | $58.88 | $77.62 |
Excellus BCBS Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Facility | None | $10.00 | $10.00 | $10.00 |
Excellus BCBS Setting Professional Modifier None Typical Low $32.36 Median $33.11 Typical High $51.29 | Professional | None | $32.36 | $33.11 | $51.29 |
Highmark BCBS Setting Facility Modifier None Typical Low $64.57 Median $208.93 Typical High $467.74 | Facility | None | $64.57 | $208.93 | $467.74 |
Highmark BCBS Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $75.86 | Professional | None | $42.66 | $42.66 | $75.86 |
MVP Health Care Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Facility | None | $21.88 | $21.88 | $21.88 |
MVP Health Care Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $52.48 | Professional | None | $34.67 | $34.67 | $52.48 |
United Setting Facility Modifier None Typical Low $257.04 Median $302.00 Typical High $371.54 | Facility | None | $257.04 | $302.00 | $371.54 |
United Setting Professional Modifier None Typical Low $28.84 Median $37.15 Typical High $44.67 | Professional | None | $28.84 | $37.15 | $44.67 |
Univera Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $87.10 | Facility | None | $10.00 | $10.00 | $87.10 |
Univera Setting Professional Modifier None Typical Low $32.36 Median $37.15 Typical High $47.86 | Professional | None | $32.36 | $37.15 | $47.86 |
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 $16.60 Median $16.60 Typical High $22.39 | Professional | 52 · Reduced service | $16.60 | $16.60 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $6.76 Typical High $8.91 | Professional | 53 · Discontinued | $6.76 | $6.76 | $8.91 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $35.48 Typical High $46.77 | Professional | 53 · Discontinued | $18.62 | $35.48 | $46.77 |
Where New York sits
The same service costs 2.6 times more in Alaska than in Kentucky. 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· 35th of 51
$39.81
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.