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 $104.71 | Facility | None | $33.88 | $46.77 | $104.71 |
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 $42.66 Median $48.98 Typical High $51.29 | Professional | None | $42.66 | $48.98 | $51.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $35.48 Median $41.69 Typical High $46.77 | Professional | None | $35.48 | $41.69 | $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 $40.74 Median $72.44 Typical High $72.44 | Facility | None | $40.74 | $72.44 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $45.71 Typical High $48.98 | Professional | None | $38.90 | $45.71 | $48.98 |
Emblem Health Setting Facility Modifier None Typical Low $14.13 Median $52.48 Typical High $181.97 | Facility | None | $14.13 | $52.48 | $181.97 |
Emblem Health Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $74.13 | Professional | None | $56.23 | $56.23 | $74.13 |
Excellus BCBS Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
Excellus BCBS Setting Professional Modifier None Typical Low $30.90 Median $31.62 Typical High $50.12 | Professional | None | $30.90 | $31.62 | $50.12 |
Highmark BCBS Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $177.83 | Facility | None | $60.26 | $60.26 | $177.83 |
Highmark BCBS Setting Professional Modifier None Typical Low $42.66 Median $43.65 Typical High $74.13 | Professional | None | $42.66 | $43.65 | $74.13 |
MVP Health Care Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
MVP Health Care Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $51.29 | Professional | None | $30.20 | $30.20 | $51.29 |
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 $25.70 Median $36.31 Typical High $43.65 | Professional | None | $25.70 | $36.31 | $43.65 |
Univera Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $83.18 | Facility | None | $15.14 | $15.14 | $83.18 |
Univera Setting Professional Modifier None Typical Low $31.62 Median $36.31 Typical High $46.77 | Professional | None | $31.62 | $36.31 | $46.77 |
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 $21.88 | Professional | 52 · Reduced service | $16.60 | $16.60 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $6.76 Typical High $8.71 | Professional | 53 · Discontinued | $6.76 | $6.76 | $8.71 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $33.88 Typical High $45.71 | Professional | 53 · Discontinued | $18.20 | $33.88 | $45.71 |
Where New York sits
The same service costs 2.9 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· 32nd 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.