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 $38.90 Median $52.48 Typical High $128.82 | Facility | None | $38.90 | $52.48 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $56.23 | Professional | None | $46.77 | $46.77 | $56.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $44.67 Median $52.48 Typical High $58.88 | Professional | None | $44.67 | $52.48 | $58.88 |
CDPHP Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $95.50 Typical High $95.50 | Facility | None | $40.74 | $95.50 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $57.54 Typical High $61.66 | Professional | None | $52.48 | $57.54 | $61.66 |
Emblem Health Setting Facility Modifier None Typical Low $10.00 Median $67.61 Typical High $245.47 | Facility | None | $10.00 | $67.61 | $245.47 |
Emblem Health Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $97.72 | Professional | None | $74.13 | $74.13 | $97.72 |
Excellus BCBS Setting Professional Modifier None Typical Low $39.81 Median $43.65 Typical High $63.10 | Professional | None | $39.81 | $43.65 | $63.10 |
Highmark BCBS Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Highmark BCBS Setting Professional Modifier None Typical Low $54.95 Median $57.54 Typical High $95.50 | Professional | None | $54.95 | $57.54 | $95.50 |
MVP Health Care Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $66.07 | Professional | None | $44.67 | $44.67 | $66.07 |
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 $36.31 Median $46.77 Typical High $56.23 | Professional | None | $36.31 | $46.77 | $56.23 |
Univera Setting Facility Modifier None Typical Low $47.86 Median $63.10 Typical High $186.21 | Facility | None | $47.86 | $63.10 | $186.21 |
Univera Setting Professional Modifier None Typical Low $33.11 Median $42.66 Typical High $58.88 | Professional | None | $33.11 | $42.66 | $58.88 |
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 $23.44 Median $23.44 Typical High $28.18 | Professional | 52 · Reduced service | $23.44 | $23.44 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.33 Typical High $11.22 | Professional | 53 · Discontinued | $9.33 | $9.33 | $11.22 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $46.77 Typical High $57.54 | Professional | 53 · Discontinued | $23.44 | $46.77 | $57.54 |
Where New York sits
The same service costs 2.6 times more in Alaska than in Indiana. 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· 38th of 51
$50.12
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.