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 $40.74 Median $72.44 Typical High $173.78 | Facility | None | $40.74 | $72.44 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $77.62 | Professional | None | $64.57 | $64.57 | $77.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $63.10 Median $74.13 Typical High $83.18 | Professional | None | $63.10 | $74.13 | $83.18 |
CDPHP Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None | $95.50 | $95.50 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $114.82 Typical High $114.82 | Facility | None | $40.74 | $114.82 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $81.28 Typical High $85.11 | Professional | None | $69.18 | $81.28 | $85.11 |
Emblem Health Setting Facility Modifier None Typical Low $3.98 Median $81.28 Typical High $295.12 | Facility | None | $3.98 | $81.28 | $295.12 |
Emblem Health Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $117.49 | Professional | None | $89.13 | $89.13 | $117.49 |
Excellus BCBS Setting Professional Modifier None Typical Low $50.12 Median $58.88 Typical High $77.62 | Professional | None | $50.12 | $58.88 | $77.62 |
MVP Health Care Setting Professional Modifier None Typical Low $25.12 Median $51.29 Typical High $85.11 | Professional | None | $25.12 | $51.29 | $85.11 |
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 $40.74 Median $61.66 Typical High $74.13 | Professional | None | $40.74 | $61.66 | $74.13 |
Univera Setting Facility Modifier None Typical Low $58.88 Median $63.10 Typical High $169.82 | Facility | None | $58.88 | $63.10 | $169.82 |
Univera Setting Professional Modifier None Typical Low $40.74 Median $57.54 Typical High $74.13 | Professional | None | $40.74 | $57.54 | $74.13 |
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 $32.36 Median $32.36 Typical High $38.90 | Professional | 52 · Reduced service | $32.36 | $32.36 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $15.49 | Professional | 53 · Discontinued | $12.88 | $12.88 | $15.49 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $60.26 Typical High $70.79 | Professional | 53 · Discontinued | $31.62 | $60.26 | $70.79 |
Where New York sits
The same service costs 4.5 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· 28th of 51
$69.18
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.