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 $26.92 Typical High $57.54 | Facility | None | $21.38 | $26.92 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $29.51 | Professional | None | $21.38 | $21.38 | $29.51 |
Ambetter Setting Professional Modifier None Typical Low $21.88 Median $23.99 Typical High $24.55 | Professional | None | $21.88 | $23.99 | $24.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.95 Median $23.44 Typical High $26.92 | Professional | None | $19.95 | $23.44 | $26.92 |
CDPHP Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $144.54 | Facility | None | $41.69 | $41.69 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $45.71 | Professional | None | $27.54 | $27.54 | $45.71 |
Emblem Health Setting Facility Modifier None Typical Low $19.95 Median $30.20 Typical High $93.33 | Facility | None | $19.95 | $30.20 | $93.33 |
Emblem Health Setting Professional Modifier None Typical Low $21.38 Median $28.84 Typical High $47.86 | Professional | None | $21.38 | $28.84 | $47.86 |
Excellus BCBS Setting Professional Modifier None Typical Low $15.85 Median $21.88 Typical High $26.92 | Professional | None | $15.85 | $21.88 | $26.92 |
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 $34.67 Median $34.67 Typical High $35.48 | Professional | None | $34.67 | $34.67 | $35.48 |
United Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $32.36 | Facility | None | $24.55 | $24.55 | $32.36 |
United Setting Professional Modifier None Typical Low $17.78 Median $23.99 Typical High $35.48 | Professional | None | $17.78 | $23.99 | $35.48 |
Univera Setting Facility Modifier None Typical Low $25.70 Median $26.30 Typical High $131.83 | Facility | None | $25.70 | $26.30 | $131.83 |
Univera Setting Professional Modifier None Typical Low $15.85 Median $21.38 Typical High $26.92 | Professional | None | $15.85 | $21.38 | $26.92 |
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 $10.72 Median $10.72 Typical High $12.88 | Professional | 52 · Reduced service | $10.72 | $10.72 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.27 Typical High $5.25 | Professional | 53 · Discontinued | $4.27 | $4.27 | $5.25 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $16.98 Typical High $20.42 | Professional | 53 · Discontinued | $12.88 | $16.98 | $20.42 |
Where New York sits
The same service costs 2.6 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· 49th 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.