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 $47.86 Median $53.70 Typical High $107.15 | Facility | None | $47.86 | $53.70 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $72.44 | Professional | None | $47.86 | $47.86 | $72.44 |
Ambetter Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $39.81 Median $46.77 Typical High $51.29 | Professional | None | $39.81 | $46.77 | $51.29 |
CDPHP Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $47.86 Typical High $131.83 | Professional | None | $46.77 | $47.86 | $131.83 |
Emblem Health Setting Facility Modifier None Typical Low $39.81 Median $61.66 Typical High $251.19 | Facility | None | $39.81 | $61.66 | $251.19 |
Emblem Health Setting Professional Modifier None Typical Low $57.54 Median $58.88 Typical High $87.10 | Professional | None | $57.54 | $58.88 | $87.10 |
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 $38.02 Median $45.71 Typical High $60.26 | Professional | None | $38.02 | $45.71 | $60.26 |
Highmark BCBS Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $114.82 | Professional | None | $63.10 | $63.10 | $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 $95.50 Median $208.93 Typical High $208.93 | Professional | None | $95.50 | $208.93 | $208.93 |
United Setting Professional Modifier None Typical Low $36.31 Median $47.86 Typical High $87.10 | Professional | None | $36.31 | $47.86 | $87.10 |
Univera Setting Facility Modifier None Typical Low $45.71 Median $60.26 Typical High $177.83 | Facility | None | $45.71 | $60.26 | $177.83 |
Univera Setting Professional Modifier None Typical Low $38.02 Median $45.71 Typical High $60.26 | Professional | None | $38.02 | $45.71 | $60.26 |
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 $23.99 Median $23.99 Typical High $26.92 | Professional | 52 · Reduced service | $23.99 | $23.99 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $9.55 Typical High $10.72 | Professional | 53 · Discontinued | $9.55 | $9.55 | $10.72 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $29.51 Typical High $37.15 | Professional | 53 · Discontinued | $23.44 | $29.51 | $37.15 |
Where New York sits
The same service costs 3.5 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· 47th of 51
$47.86
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.