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 $14.45 Median $19.50 Typical High $48.98 | Facility | None | $14.45 | $19.50 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $20.89 | Professional | None | $14.45 | $14.45 | $20.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.98 Median $19.95 Typical High $22.39 | Professional | None | $16.98 | $19.95 | $22.39 |
CDPHP Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None | $23.99 | $23.99 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $40.74 | Facility | None | $34.67 | $34.67 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $21.88 Typical High $22.91 | Professional | None | $19.50 | $21.88 | $22.91 |
Emblem Health Setting Facility Modifier None Typical Low $3.98 Median $24.55 Typical High $89.13 | Facility | None | $3.98 | $24.55 | $89.13 |
Emblem Health Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $35.48 | Professional | None | $26.92 | $26.92 | $35.48 |
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 $14.45 Median $15.14 Typical High $23.44 | Professional | None | $14.45 | $15.14 | $23.44 |
Highmark BCBS Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $19.05 | Professional | None | $18.20 | $18.20 | $19.05 |
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 $15.49 Median $19.95 Typical High $21.38 | Professional | None | $15.49 | $19.95 | $21.38 |
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 $12.59 Median $16.22 Typical High $19.05 | Professional | None | $12.59 | $16.22 | $19.05 |
Univera Setting Facility Modifier None Typical Low $5.01 Median $5.01 Typical High $47.86 | Facility | None | $5.01 | $5.01 | $47.86 |
Univera Setting Professional Modifier None Typical Low $14.79 Median $17.38 Typical High $21.88 | Professional | None | $14.79 | $17.38 | $21.88 |
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 $7.24 Median $7.24 Typical High $10.47 | Professional | 52 · Reduced service | $7.24 | $7.24 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $2.88 Typical High $4.17 | Professional | 53 · Discontinued | $2.88 | $2.88 | $4.17 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $15.85 Typical High $20.89 | Professional | 53 · Discontinued | $7.41 | $15.85 | $20.89 |
Where New York sits
The same service costs 2.6 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· 32nd of 51
$19.05
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.