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 $138.04 Median $165.96 Typical High $371.54 | Facility | None | $138.04 | $165.96 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $141.25 Typical High $194.98 | Professional | None | $138.04 | $141.25 | $194.98 |
Ambetter Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $131.83 Median $154.88 Typical High $177.83 | Professional | None | $131.83 | $154.88 | $177.83 |
CDPHP Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $223.87 | Professional | None | $218.78 | $218.78 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $120.23 Typical High $389.05 | Professional | None | $114.82 | $120.23 | $389.05 |
Emblem Health Setting Facility Modifier None Typical Low $60.26 Median $141.25 Typical High $501.19 | Facility | None | $60.26 | $141.25 | $501.19 |
Emblem Health Setting Professional Modifier None Typical Low $138.04 Median $194.98 Typical High $302.00 | Professional | None | $138.04 | $194.98 | $302.00 |
Excellus BCBS Setting Professional Modifier None Typical Low $120.23 Median $144.54 Typical High $204.17 | Professional | None | $120.23 | $144.54 | $204.17 |
Highmark BCBS Setting Professional Modifier None Typical Low $162.18 Median $186.21 Typical High $323.59 | Professional | None | $162.18 | $186.21 | $323.59 |
MVP Health Care Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
MVP Health Care Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $331.13 | Professional | None | $138.04 | $138.04 | $331.13 |
United Setting Professional Modifier None Typical Low $117.49 Median $158.49 Typical High $426.58 | Professional | None | $117.49 | $158.49 | $426.58 |
Univera Setting Facility Modifier None Typical Low $151.36 Median $169.82 Typical High $234.42 | Facility | None | $151.36 | $169.82 | $234.42 |
Univera Setting Professional Modifier None Typical Low $120.23 Median $144.54 Typical High $204.17 | Professional | None | $120.23 | $144.54 | $204.17 |
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 $69.18 Median $70.79 Typical High $87.10 | Professional | 52 · Reduced service | $69.18 | $70.79 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $34.67 | Professional | 53 · Discontinued | $28.18 | $28.18 | $34.67 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $104.71 Typical High $213.80 | Professional | 53 · Discontinued | $81.28 | $104.71 | $213.80 |
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· 49th of 51
$151
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.