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 $117.49 Median $141.25 Typical High $316.23 | Facility | None | $117.49 | $141.25 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $120.23 Typical High $165.96 | Professional | None | $117.49 | $120.23 | $165.96 |
Ambetter Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None | $147.91 | $147.91 | $147.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $114.82 Median $134.90 Typical High $154.88 | Professional | None | $114.82 | $134.90 | $154.88 |
CDPHP Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None | $190.55 | $190.55 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $104.71 Typical High $323.59 | Professional | None | $100.00 | $104.71 | $323.59 |
Emblem Health Setting Facility Modifier None Typical Low $51.29 Median $117.49 Typical High $416.87 | Facility | None | $51.29 | $117.49 | $416.87 |
Emblem Health Setting Professional Modifier None Typical Low $120.23 Median $162.18 Typical High $251.19 | Professional | None | $120.23 | $162.18 | $251.19 |
Excellus BCBS Setting Professional Modifier None Typical Low $104.71 Median $120.23 Typical High $169.82 | Professional | None | $104.71 | $120.23 | $169.82 |
Highmark BCBS Setting Professional Modifier None Typical Low $125.89 Median $154.88 Typical High $275.42 | Professional | None | $125.89 | $154.88 | $275.42 |
MVP Health Care Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
MVP Health Care Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $275.42 | Professional | None | $117.49 | $117.49 | $275.42 |
United Setting Professional Modifier None Typical Low $100.00 Median $134.90 Typical High $363.08 | Professional | None | $100.00 | $134.90 | $363.08 |
Univera Setting Facility Modifier None Typical Low $125.89 Median $144.54 Typical High $199.53 | Facility | None | $125.89 | $144.54 | $199.53 |
Univera Setting Professional Modifier None Typical Low $104.71 Median $120.23 Typical High $169.82 | Professional | None | $104.71 | $120.23 | $169.82 |
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 $58.88 Median $60.26 Typical High $74.13 | Professional | 52 · Reduced service | $58.88 | $60.26 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.99 Typical High $29.51 | Professional | 53 · Discontinued | $23.44 | $23.99 | $29.51 |
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· 46th of 51
$132
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.