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 $61.66 Median $81.28 Typical High $199.53 | Facility | None | $61.66 | $81.28 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $89.13 | Professional | None | $61.66 | $61.66 | $89.13 |
Ambetter Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None | $91.20 | $91.20 | $91.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $69.18 Median $81.28 Typical High $89.13 | Professional | None | $69.18 | $81.28 | $89.13 |
CDPHP Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $134.90 Typical High $134.90 | Facility | None | $107.15 | $134.90 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $87.10 Typical High $93.33 | Professional | None | $74.13 | $87.10 | $93.33 |
Emblem Health Setting Facility Modifier None Typical Low $7.08 Median $95.50 Typical High $346.74 | Facility | None | $7.08 | $95.50 | $346.74 |
Emblem Health Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $138.04 | Professional | None | $104.71 | $104.71 | $138.04 |
Excellus BCBS Setting Professional Modifier None Typical Low $58.88 Median $60.26 Typical High $95.50 | Professional | None | $58.88 | $60.26 | $95.50 |
Highmark BCBS Setting Facility Modifier None Typical Low $19.95 Median $186.21 Typical High $467.74 | Facility | None | $19.95 | $186.21 | $467.74 |
Highmark BCBS Setting Professional Modifier None Typical Low $77.62 Median $141.25 Typical High $147.91 | Professional | None | $77.62 | $141.25 | $147.91 |
MVP Health Care Setting Professional Modifier None Typical Low $50.12 Median $57.54 Typical High $95.50 | Professional | None | $50.12 | $57.54 | $95.50 |
United Setting Facility Modifier None Typical Low $257.04 Median $302.00 Typical High $371.54 | Facility | None | $257.04 | $302.00 | $371.54 |
United Setting Professional Modifier None Typical Low $47.86 Median $67.61 Typical High $83.18 | Professional | None | $47.86 | $67.61 | $83.18 |
Univera Setting Facility Modifier None Typical Low $70.79 Median $95.50 Typical High $186.21 | Facility | None | $70.79 | $95.50 | $186.21 |
Univera Setting Professional Modifier None Typical Low $48.98 Median $60.26 Typical High $89.13 | Professional | None | $48.98 | $60.26 | $89.13 |
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 $30.20 Median $30.20 Typical High $42.66 | Professional | 52 · Reduced service | $30.20 | $30.20 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $16.98 | Professional | 53 · Discontinued | $12.30 | $12.30 | $16.98 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $64.57 Typical High $87.10 | Professional | 53 · Discontinued | $35.48 | $64.57 | $87.10 |
Where New York sits
The same service costs 4.1 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· 33rd of 51
$75.86
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.