How much rates vary
Facilitymedian $79 · 10th to 90th $60 to $324Professionalmedian $69 · 10th to 90th $59 to $148
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 $66.07 Median $83.18 Typical High $165.96 | Facility | None | $66.07 | $83.18 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $109.65 | Professional | None | $66.07 | $66.07 | $109.65 |
Ambetter Setting Professional Modifier None Typical Low $67.61 Median $70.79 Typical High $77.62 | Professional | None | $67.61 | $70.79 | $77.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $58.88 Median $69.18 Typical High $75.86 | Professional | None | $58.88 | $69.18 | $75.86 |
CDPHP Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $239.88 Typical High $416.87 | Facility | None | $117.49 | $239.88 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $213.80 | Professional | None | $72.44 | $72.44 | $213.80 |
Emblem Health Setting Facility Modifier None Typical Low $79.43 Median $102.33 Typical High $346.74 | Facility | None | $79.43 | $102.33 | $346.74 |
Emblem Health Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $134.90 | Professional | None | $87.10 | $87.10 | $134.90 |
Excellus BCBS Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Excellus BCBS Setting Professional Modifier None Typical Low $60.26 Median $70.79 Typical High $95.50 | Professional | None | $60.26 | $70.79 | $95.50 |
Highmark BCBS Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
MVP Health Care Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
MVP Health Care Setting Professional Modifier None Typical Low $138.04 Median $151.36 Typical High $151.36 | Professional | None | $138.04 | $151.36 | $151.36 |
United Setting Professional Modifier None Typical Low $56.23 Median $83.18 Typical High $138.04 | Professional | None | $56.23 | $83.18 | $138.04 |
Univera Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $281.84 | Facility | None | $60.26 | $60.26 | $281.84 |
Univera Setting Professional Modifier None Typical Low $60.26 Median $67.61 Typical High $95.50 | Professional | None | $60.26 | $67.61 | $95.50 |
5 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 $33.11 Median $33.11 Typical High $41.69 | Professional | 52 · Reduced service | $33.11 | $33.11 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $16.60 | Professional | 53 · Discontinued | $13.18 | $13.18 | $16.60 |
Fidelis Setting Professional Modifier 59 · Distinct service Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 59 · Distinct service | $107.15 | $107.15 | $107.15 |
Highmark BCBS Setting Professional Modifier 59 · Distinct service Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 59 · Distinct service | $95.50 | $95.50 | $95.50 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $44.67 Typical High $57.54 | Professional | 53 · Discontinued | $35.48 | $44.67 | $57.54 |
Where New York sits
The same service costs 2.7 times more in Minnesota 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· 48th of 51
$69.18
MN $166FL $61.66
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.