How much rates vary
Facilitymedian $26 · 10th to 90th $18 to $234Professionalmedian $21 · 10th to 90th $17 to $44
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 $17.78 Median $23.99 Typical High $87.10 | Facility | None | $17.78 | $23.99 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $23.99 Typical High $29.51 | Professional | None | $22.39 | $23.99 | $29.51 |
Ambetter Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $18.20 Median $21.38 Typical High $23.99 | Professional | None | $18.20 | $21.38 | $23.99 |
CDPHP Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $104.71 Typical High $162.18 | Facility | None | $39.81 | $104.71 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $204.17 Typical High $204.17 | Professional | None | $83.18 | $204.17 | $204.17 |
Emblem Health Setting Facility Modifier None Typical Low $21.88 Median $52.48 Typical High $89.13 | Facility | None | $21.88 | $52.48 | $89.13 |
Emblem Health Setting Professional Modifier None Typical Low $21.88 Median $22.91 Typical High $32.36 | Professional | None | $21.88 | $22.91 | $32.36 |
Excellus BCBS Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
Excellus BCBS Setting Professional Modifier None Typical Low $14.45 Median $16.98 Typical High $26.30 | Professional | None | $14.45 | $16.98 | $26.30 |
Highmark BCBS Setting Facility Modifier None Typical Low $31.62 Median $177.83 Typical High $436.52 | Facility | None | $31.62 | $177.83 | $436.52 |
MVP Health Care Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
MVP Health Care Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
United Setting Facility Modifier None Typical Low $269.15 Median $309.03 Typical High $380.19 | Facility | None | $269.15 | $309.03 | $380.19 |
United Setting Professional Modifier None Typical Low $15.14 Median $30.90 Typical High $57.54 | Professional | None | $15.14 | $30.90 | $57.54 |
Univera Setting Facility Modifier None Typical Low $17.38 Median $18.20 Typical High $87.10 | Facility | None | $17.38 | $18.20 | $87.10 |
Univera Setting Professional Modifier None Typical Low $10.00 Median $16.98 Typical High $26.30 | Professional | None | $10.00 | $16.98 | $26.30 |
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 $11.22 Median $12.02 Typical High $12.02 | Professional | 52 · Reduced service | $11.22 | $12.02 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $4.79 Typical High $4.79 | Professional | 53 · Discontinued | $4.47 | $4.79 | $4.79 |
Highmark BCBS Setting Professional Modifier 51 · Multiple procedures + 59 · Distinct service Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | 51 · Multiple procedures + 59 · Distinct service | $26.30 | $26.30 | $26.30 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $15.85 Typical High $19.95 | Professional | 53 · Discontinued | $12.59 | $15.85 | $19.95 |
Where New York sits
The same service costs 3.0 times more in Minnesota than in Pennsylvania. 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
$21.38
MN $53.70PA $17.78
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.