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 $46.77 Median $56.23 Typical High $120.23 | Facility | None | $46.77 | $56.23 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $47.86 Typical High $63.10 | Professional | None | $46.77 | $47.86 | $63.10 |
Ambetter Setting Professional Modifier None Typical Low $46.77 Median $47.86 Typical High $54.95 | Professional | None | $46.77 | $47.86 | $54.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $48.98 Median $57.54 Typical High $64.57 | Professional | None | $48.98 | $57.54 | $64.57 |
CDPHP Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $75.86 | Professional | None | $74.13 | $74.13 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $41.69 Typical High $128.82 | Professional | None | $39.81 | $41.69 | $128.82 |
Emblem Health Setting Facility Modifier None Typical Low $20.42 Median $44.67 Typical High $158.49 | Facility | None | $20.42 | $44.67 | $158.49 |
Emblem Health Setting Professional Modifier None Typical Low $47.86 Median $60.26 Typical High $93.33 | Professional | None | $47.86 | $60.26 | $93.33 |
Excellus BCBS Setting Professional Modifier None Typical Low $40.74 Median $47.86 Typical High $63.10 | Professional | None | $40.74 | $47.86 | $63.10 |
Highmark BCBS Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $112.20 | Professional | None | $57.54 | $57.54 | $112.20 |
MVP Health Care Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
MVP Health Care Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $107.15 | Professional | None | $46.77 | $46.77 | $107.15 |
United Setting Facility Modifier None Typical Low $190.55 Median $223.87 Typical High $275.42 | Facility | None | $190.55 | $223.87 | $275.42 |
United Setting Professional Modifier None Typical Low $37.15 Median $53.70 Typical High $144.54 | Professional | None | $37.15 | $53.70 | $144.54 |
Univera Setting Facility Modifier None Typical Low $47.86 Median $53.70 Typical High $79.43 | Facility | None | $47.86 | $53.70 | $79.43 |
Univera Setting Professional Modifier None Typical Low $40.74 Median $47.86 Typical High $63.10 | Professional | None | $40.74 | $47.86 | $63.10 |
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 $23.44 Median $23.99 Typical High $29.51 | Professional | 52 · Reduced service | $23.44 | $23.99 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.55 Typical High $11.75 | Professional | 53 · Discontinued | $9.33 | $9.55 | $11.75 |
Where New York sits
The same service costs 2.7 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· 45th of 51
$53.70
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.