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 $81.28 Median $97.72 Typical High $162.18 | Facility | None | $81.28 | $97.72 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $81.28 Typical High $95.50 | Professional | None | $70.79 | $81.28 | $95.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $75.86 Median $89.13 Typical High $100.00 | Professional | None | $75.86 | $89.13 | $100.00 |
CDPHP Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $131.83 | Professional | None | $114.82 | $114.82 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $109.65 Typical High $109.65 | Facility | None | $107.15 | $109.65 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $91.20 Typical High $104.71 | Professional | None | $83.18 | $91.20 | $104.71 |
Emblem Health Setting Facility Modifier None Typical Low $30.20 Median $70.79 Typical High $239.88 | Facility | None | $30.20 | $70.79 | $239.88 |
Emblem Health Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $134.90 | Professional | None | $104.71 | $104.71 | $134.90 |
Excellus BCBS Setting Professional Modifier None Typical Low $61.66 Median $74.13 Typical High $97.72 | Professional | None | $61.66 | $74.13 | $97.72 |
Highmark BCBS Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $446.68 | Facility | None | $117.49 | $117.49 | $446.68 |
Highmark BCBS Setting Professional Modifier None Typical Low $64.57 Median $104.71 Typical High $104.71 | Professional | None | $64.57 | $104.71 | $104.71 |
MVP Health Care Setting Professional Modifier None Typical Low $67.61 Median $77.62 Typical High $117.49 | Professional | None | $67.61 | $77.62 | $117.49 |
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 $48.98 Median $74.13 Typical High $97.72 | Professional | None | $48.98 | $74.13 | $97.72 |
Univera Setting Facility Modifier None Typical Low $64.57 Median $87.10 Typical High $199.53 | Facility | None | $64.57 | $87.10 | $199.53 |
Univera Setting Professional Modifier None Typical Low $50.12 Median $72.44 Typical High $91.20 | Professional | None | $50.12 | $72.44 | $91.20 |
1 more rate 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 |
|---|---|---|---|---|---|
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $56.23 Typical High $66.07 | Professional | 53 · Discontinued | $46.77 | $56.23 | $66.07 |
Where New York sits
The same service costs 3.0 times more in Alaska than in Florida. 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· 30th of 51
$85.11
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.