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 $33.11 Median $40.74 Typical High $87.10 | Facility | None | $33.11 | $40.74 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $45.71 | Professional | None | $33.11 | $33.11 | $45.71 |
Ambetter Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $30.20 Median $35.48 Typical High $48.98 | Professional | None | $30.20 | $35.48 | $48.98 |
CDPHP Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $51.29 Typical High $125.89 | Facility | None | $44.67 | $51.29 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $38.90 Typical High $97.72 | Professional | None | $38.02 | $38.90 | $97.72 |
Emblem Health Setting Facility Modifier None Typical Low $25.12 Median $38.02 Typical High $151.36 | Facility | None | $25.12 | $38.02 | $151.36 |
Emblem Health Setting Professional Modifier None Typical Low $37.15 Median $41.69 Typical High $64.57 | Professional | None | $37.15 | $41.69 | $64.57 |
Excellus BCBS Setting Professional Modifier None Typical Low $25.12 Median $31.62 Typical High $45.71 | Professional | None | $25.12 | $31.62 | $45.71 |
MVP Health Care Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
MVP Health Care Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $91.20 | Professional | None | $41.69 | $41.69 | $91.20 |
United Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $38.90 | Facility | None | $30.20 | $30.20 | $38.90 |
United Setting Professional Modifier None Typical Low $23.99 Median $35.48 Typical High $66.07 | Professional | None | $23.99 | $35.48 | $66.07 |
Univera Setting Facility Modifier None Typical Low $29.51 Median $39.81 Typical High $131.83 | Facility | None | $29.51 | $39.81 | $131.83 |
Univera Setting Professional Modifier None Typical Low $25.12 Median $31.62 Typical High $45.71 | Professional | None | $25.12 | $31.62 | $45.71 |
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 $16.60 Median $16.60 Typical High $20.42 | Professional | 52 · Reduced service | $16.60 | $16.60 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $6.61 Typical High $8.13 | Professional | 53 · Discontinued | $6.61 | $6.61 | $8.13 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $35.48 Median $39.81 Typical High $39.81 | Professional | GL · Free upgrade | $35.48 | $39.81 | $39.81 |
Where New York sits
The same service costs 2.7 times more in Alaska than in New York. 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· 51st of 51
$35.48
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.