How much rates vary
Facilitymedian $81 · 10th to 90th $60 to $316Professionalmedian $81 · 10th to 90th $66 to $120
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 $89.13 Typical High $169.82 | Facility | None | $81.28 | $89.13 | $169.82 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $117.49 | Professional | None | $81.28 | $81.28 | $117.49 |
Ambetter Setting Professional Modifier None Typical Low $67.61 Median $81.28 Typical High $81.28 | Professional | None | $67.61 | $81.28 | $81.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $69.18 Median $81.28 Typical High $91.20 | Professional | None | $69.18 | $81.28 | $91.20 |
CDPHP Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $549.54 | Facility | None | $138.04 | $138.04 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $79.43 Typical High $239.88 | Professional | None | $77.62 | $79.43 | $239.88 |
Emblem Health Setting Facility Modifier None Typical Low $83.18 Median $177.83 Typical High $478.63 | Facility | None | $83.18 | $177.83 | $478.63 |
Emblem Health Setting Professional Modifier None Typical Low $85.11 Median $87.10 Typical High $125.89 | Professional | None | $85.11 | $87.10 | $125.89 |
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 $57.54 Median $67.61 Typical High $102.33 | Professional | None | $57.54 | $67.61 | $102.33 |
Highmark BCBS Setting Facility Modifier None Typical Low $125.89 Median $128.82 Typical High $131.83 | Facility | None | $125.89 | $128.82 | $131.83 |
Highmark BCBS Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
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 $112.20 Median $112.20 Typical High $141.25 | Professional | None | $112.20 | $112.20 | $141.25 |
United Setting Professional Modifier None Typical Low $57.54 Median $107.15 Typical High $190.55 | Professional | None | $57.54 | $107.15 | $190.55 |
Univera Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $302.00 | Facility | None | $60.26 | $60.26 | $302.00 |
Univera Setting Professional Modifier None Typical Low $57.54 Median $67.61 Typical High $102.33 | Professional | None | $57.54 | $67.61 | $102.33 |
4 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 $40.74 Median $40.74 Typical High $43.65 | Professional | 52 · Reduced service | $40.74 | $40.74 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.22 Typical High $17.78 | Professional | 53 · Discontinued | $16.22 | $16.22 | $17.78 |
Fidelis Setting Professional Modifier 59 · Distinct service Typical Low $69.18 Median $95.50 Typical High $95.50 | Professional | 59 · Distinct service | $69.18 | $95.50 | $95.50 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $53.70 Typical High $69.18 | Professional | 53 · Discontinued | $43.65 | $53.70 | $69.18 |
Where New York sits
The same service costs 2.8 times more in Minnesota than in Utah. 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· 45th of 51
$81.28
MN $174UT $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.