How much rates vary
Facilitymedian $52 · 10th to 90th $13 to $81Professionalmedian $56 · 10th to 90th $48 to $72
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 $50.12 Median $58.88 Typical High $87.10 | Facility | None | $50.12 | $58.88 | $87.10 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $25.12 Median $26.30 Typical High $33.11 | Facility | 52 · Reduced service | $25.12 | $26.30 | $33.11 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.00 Median $10.72 Typical High $13.18 | Facility | 53 · Discontinued | $10.00 | $10.72 | $13.18 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $57.54 Typical High $72.44 | Professional | None | $50.12 | $57.54 | $72.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.12 Median $26.30 Typical High $32.36 | Professional | 52 · Reduced service | $25.12 | $26.30 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.47 Typical High $12.88 | Professional | 53 · Discontinued | $10.00 | $10.47 | $12.88 |
Ambetter Setting Professional Modifier None Typical Low $38.90 Median $45.71 Typical High $60.26 | Professional | None | $38.90 | $45.71 | $60.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $47.86 Median $57.54 Typical High $66.07 | Professional | None | $47.86 | $57.54 | $66.07 |
CDPHP Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $83.18 | Professional | None | $75.86 | $75.86 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $204.17 | Facility | None | $77.62 | $77.62 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $51.29 Typical High $128.82 | Professional | None | $40.74 | $51.29 | $128.82 |
Emblem Health Setting Facility Modifier None Typical Low $0.10 Median $48.98 Typical High $112.20 | Facility | None | $0.10 | $48.98 | $112.20 |
Emblem Health Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $45.71 | Professional | None | $44.67 | $44.67 | $45.71 |
Excellus BCBS Setting Facility Modifier None Typical Low $12.59 Median $15.14 Typical High $54.95 | Facility | None | $12.59 | $15.14 | $54.95 |
Excellus BCBS Setting Professional Modifier None Typical Low $26.92 Median $47.86 Typical High $66.07 | Professional | None | $26.92 | $47.86 | $66.07 |
Highmark BCBS Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $194.98 | Facility | None | $72.44 | $72.44 | $194.98 |
Highmark BCBS Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $75.86 | Professional | None | $61.66 | $61.66 | $75.86 |
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 $51.29 Median $51.29 Typical High $89.13 | Professional | None | $51.29 | $51.29 | $89.13 |
United Setting Professional Modifier None Typical Low $39.81 Median $58.88 Typical High $134.90 | Professional | None | $39.81 | $58.88 | $134.90 |
Univera Setting Facility Modifier None Typical Low $12.59 Median $30.90 Typical High $64.57 | Facility | None | $12.59 | $30.90 | $64.57 |
Univera Setting Professional Modifier None Typical Low $26.92 Median $52.48 Typical High $66.07 | Professional | None | $26.92 | $52.48 | $66.07 |
7 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 Facility Modifier AF · Specialist physician Typical Low $72.44 Median $75.86 Typical High $79.43 | Facility | AF · Specialist physician | $72.44 | $75.86 | $79.43 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $54.95 Median $56.23 Typical High $58.88 | Facility | HO · Master's level | $54.95 | $56.23 | $58.88 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $61.66 Median $64.57 Typical High $67.61 | Facility | TD · Registered nurse | $61.66 | $64.57 | $67.61 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $61.66 Median $72.44 Typical High $75.86 | Professional | AF · Specialist physician | $61.66 | $72.44 | $75.86 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $46.77 Median $54.95 Typical High $57.54 | Professional | HO · Master's level | $46.77 | $54.95 | $57.54 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $52.48 Median $61.66 Typical High $64.57 | Professional | TD · Registered nurse | $52.48 | $61.66 | $64.57 |
Emblem Health Setting Facility Modifier U4 · State-defined Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | U4 · State-defined | $0.10 | $0.10 | $0.10 |
Where New York sits
The same service costs 2.6 times more in Alaska than in Arizona. 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· 30th of 51
$56.23
AK $110AZ $42.66
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.