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 $19.95 Median $50.12 Typical High $123.03 | Facility | None | $19.95 | $50.12 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $48.98 Typical High $53.70 | Professional | None | $19.95 | $48.98 | $53.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.88 Median $39.81 Typical High $60.26 | Professional | None | $33.88 | $39.81 | $60.26 |
CDPHP Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $70.79 | Professional | None | $33.88 | $33.88 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $138.04 | Facility | None | $34.67 | $34.67 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $56.23 Typical High $83.18 | Professional | None | $28.18 | $56.23 | $83.18 |
Emblem Health Setting Facility Modifier None Typical Low $21.38 Median $34.67 Typical High $83.18 | Facility | None | $21.38 | $34.67 | $83.18 |
Emblem Health Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $112.20 | Professional | None | $66.07 | $66.07 | $112.20 |
Excellus BCBS Setting Professional Modifier None Typical Low $44.67 Median $52.48 Typical High $66.07 | Professional | None | $44.67 | $52.48 | $66.07 |
MVP Health Care Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
United Setting Facility Modifier None Typical Low $75.86 Median $87.10 Typical High $107.15 | Facility | None | $75.86 | $87.10 | $107.15 |
United Setting Professional Modifier None Typical Low $18.20 Median $38.90 Typical High $61.66 | Professional | None | $18.20 | $38.90 | $61.66 |
Univera Setting Facility Modifier None Typical Low $23.99 Median $24.55 Typical High $57.54 | Facility | None | $23.99 | $24.55 | $57.54 |
Univera Setting Professional Modifier None Typical Low $36.31 Median $52.48 Typical High $66.07 | Professional | None | $36.31 | $52.48 | $66.07 |
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 $10.00 Median $23.99 Typical High $26.92 | Professional | 52 · Reduced service | $10.00 | $23.99 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $9.77 Typical High $10.72 | Professional | 53 · Discontinued | $3.98 | $9.77 | $10.72 |
Where New York sits
The same service costs 3.7 times more in Alaska than in Washington, DC. 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· 42nd of 51
$40.74
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.