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 $23.99 Median $37.15 Typical High $81.28 | Facility | None | $23.99 | $37.15 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $34.67 | Professional | None | $27.54 | $27.54 | $34.67 |
Ambetter Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $35.48 | Professional | None | $31.62 | $31.62 | $35.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.18 Median $33.11 Typical High $37.15 | Professional | None | $28.18 | $33.11 | $37.15 |
CDPHP Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $56.23 Typical High $56.23 | Facility | None | $40.74 | $56.23 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $36.31 Typical High $38.90 | Professional | None | $30.90 | $36.31 | $38.90 |
Emblem Health Setting Facility Modifier None Typical Low $3.98 Median $38.90 Typical High $141.25 | Facility | None | $3.98 | $38.90 | $141.25 |
Emblem Health Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $56.23 | Professional | None | $42.66 | $42.66 | $56.23 |
Excellus BCBS Setting Facility Modifier None Typical Low $5.01 Median $5.01 Typical High $5.01 | Facility | None | $5.01 | $5.01 | $5.01 |
Excellus BCBS Setting Professional Modifier None Typical Low $23.44 Median $25.12 Typical High $38.02 | Professional | None | $23.44 | $25.12 | $38.02 |
Highmark BCBS Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
MVP Health Care Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Facility | None | $10.96 | $10.96 | $10.96 |
MVP Health Care Setting Professional Modifier None Typical Low $19.95 Median $23.99 Typical High $39.81 | Professional | None | $19.95 | $23.99 | $39.81 |
United Setting Facility Modifier None Typical Low $75.86 Median $87.10 Typical High $107.15 | Facility | None | $75.86 | $87.10 | $107.15 |
United Setting Professional Modifier None Typical Low $19.50 Median $29.51 Typical High $34.67 | Professional | None | $19.50 | $29.51 | $34.67 |
Univera Setting Facility Modifier None Typical Low $5.01 Median $5.01 Typical High $58.88 | Facility | None | $5.01 | $5.01 | $58.88 |
Univera Setting Professional Modifier None Typical Low $23.99 Median $28.84 Typical High $35.48 | Professional | None | $23.99 | $28.84 | $35.48 |
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 $13.80 Median $13.80 Typical High $16.98 | Professional | 52 · Reduced service | $13.80 | $13.80 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $5.62 Typical High $6.92 | Professional | 53 · Discontinued | $5.62 | $5.62 | $6.92 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $27.54 Typical High $34.67 | Professional | 53 · Discontinued | $14.79 | $27.54 | $34.67 |
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
$31.62
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.