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 $21.88 Median $29.51 Typical High $48.98 | Facility | None | $21.88 | $29.51 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $22.39 Typical High $28.84 | Professional | None | $21.88 | $22.39 | $28.84 |
Ambetter Setting Professional Modifier None Typical Low $16.98 Median $17.38 Typical High $17.78 | Professional | None | $16.98 | $17.38 | $17.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.49 Median $18.20 Typical High $20.42 | Professional | None | $15.49 | $18.20 | $20.42 |
CDPHP Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $151.36 | Facility | None | $39.81 | $39.81 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $64.57 | Professional | None | $17.78 | $17.78 | $64.57 |
Emblem Health Setting Facility Modifier None Typical Low $20.89 Median $31.62 Typical High $109.65 | Facility | None | $20.89 | $31.62 | $109.65 |
Emblem Health Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $33.11 | Professional | None | $20.89 | $20.89 | $33.11 |
Excellus BCBS Setting Professional Modifier None Typical Low $14.79 Median $17.38 Typical High $47.86 | Professional | None | $14.79 | $17.38 | $47.86 |
Highmark BCBS Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
Highmark BCBS Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
MVP Health Care Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
MVP Health Care Setting Professional Modifier None Typical Low $42.66 Median $58.88 Typical High $58.88 | Professional | None | $42.66 | $58.88 | $58.88 |
United Setting Professional Modifier None Typical Low $13.80 Median $28.84 Typical High $46.77 | Professional | None | $13.80 | $28.84 | $46.77 |
Univera Setting Facility Modifier None Typical Low $18.20 Median $23.99 Typical High $389.05 | Facility | None | $18.20 | $23.99 | $389.05 |
Univera Setting Professional Modifier None Typical Low $14.79 Median $17.38 Typical High $47.86 | Professional | None | $14.79 | $17.38 | $47.86 |
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 $10.96 Median $11.22 Typical High $11.22 | Professional | 52 · Reduced service | $10.96 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $4.47 Typical High $4.47 | Professional | 53 · Discontinued | $4.37 | $4.47 | $4.47 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $16.60 Typical High $19.05 | Professional | 53 · Discontinued | $13.49 | $16.60 | $19.05 |
Where New York sits
The same service costs 2.6 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
$19.05
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.