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 $19.50 Median $29.51 Typical High $72.44 | Facility | None | $19.50 | $29.51 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $30.90 | Professional | None | $24.55 | $24.55 | $30.90 |
Ambetter Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.12 Median $29.51 Typical High $33.11 | Professional | None | $25.12 | $29.51 | $33.11 |
CDPHP Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $47.86 Typical High $47.86 | Facility | None | $40.74 | $47.86 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $32.36 Typical High $34.67 | Professional | None | $27.54 | $32.36 | $34.67 |
Emblem Health Setting Facility Modifier None Typical Low $3.98 Median $33.88 Typical High $123.03 | Facility | None | $3.98 | $33.88 | $123.03 |
Emblem Health Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $48.98 | Professional | None | $37.15 | $37.15 | $48.98 |
Excellus BCBS Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Excellus BCBS Setting Professional Modifier None Typical Low $20.89 Median $25.12 Typical High $33.11 | Professional | None | $20.89 | $25.12 | $33.11 |
Highmark BCBS Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $30.20 | Professional | None | $29.51 | $29.51 | $30.20 |
MVP Health Care Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
MVP Health Care Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $37.15 | Professional | None | $25.12 | $25.12 | $37.15 |
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 $18.20 Median $25.70 Typical High $30.90 | Professional | None | $18.20 | $25.70 | $30.90 |
Univera Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $60.26 | Facility | None | $25.12 | $25.12 | $60.26 |
Univera Setting Professional Modifier None Typical Low $21.38 Median $25.70 Typical High $31.62 | Professional | None | $21.38 | $25.70 | $31.62 |
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 $12.30 Median $12.30 Typical High $15.49 | Professional | 52 · Reduced service | $12.30 | $12.30 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $4.90 Typical High $6.17 | Professional | 53 · Discontinued | $4.90 | $4.90 | $6.17 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $24.55 Typical High $30.20 | Professional | 53 · Discontinued | $12.88 | $24.55 | $30.20 |
Where New York sits
The same service costs 3.3 times more in Alaska than in South Carolina. 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
$28.18
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.