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 $21.38 Median $38.90 Typical High $154.88 | Facility | None | $21.38 | $38.90 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $30.20 | Professional | None | $21.38 | $21.38 | $30.20 |
Ambetter Setting Professional Modifier None Typical Low $19.05 Median $22.39 Typical High $28.84 | Professional | None | $19.05 | $22.39 | $28.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $20.42 Median $23.99 Typical High $26.92 | Professional | None | $20.42 | $23.99 | $26.92 |
CDPHP Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $57.54 | Professional | None | $23.44 | $23.44 | $57.54 |
Emblem Health Setting Facility Modifier None Typical Low $25.70 Median $34.67 Typical High $87.10 | Facility | None | $25.70 | $34.67 | $87.10 |
Emblem Health Setting Professional Modifier None Typical Low $22.39 Median $26.92 Typical High $40.74 | Professional | None | $22.39 | $26.92 | $40.74 |
Excellus BCBS Setting Professional Modifier None Typical Low $19.05 Median $22.39 Typical High $34.67 | Professional | None | $19.05 | $22.39 | $34.67 |
Highmark BCBS Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Highmark BCBS Setting Professional Modifier None Typical Low $38.90 Median $39.81 Typical High $44.67 | Professional | None | $38.90 | $39.81 | $44.67 |
MVP Health Care Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
MVP Health Care Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $35.48 | Professional | None | $20.89 | $20.89 | $35.48 |
United Setting Professional Modifier None Typical Low $17.78 Median $28.18 Typical High $44.67 | Professional | None | $17.78 | $28.18 | $44.67 |
Univera Setting Facility Modifier None Typical Low $22.91 Median $30.20 Typical High $48.98 | Facility | None | $22.91 | $30.20 | $48.98 |
Univera Setting Professional Modifier None Typical Low $19.05 Median $22.39 Typical High $32.36 | Professional | None | $19.05 | $22.39 | $32.36 |
2 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 $10.47 Median $10.47 Typical High $14.45 | Professional | 52 · Reduced service | $10.47 | $10.47 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.27 Typical High $5.75 | Professional | 53 · Discontinued | $4.27 | $4.27 | $5.75 |
Where New York sits
The same service costs 2.8 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· 48th of 51
$23.44
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.