How much rates vary
Facilitymedian $117 · 10th to 90th $0 to $355Professionalmedian $115 · 10th to 90th $93 to $138
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 $100.00 Median $128.82 Typical High $489.78 | Facility | None | $100.00 | $128.82 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $112.20 Typical High $138.04 | Professional | None | $93.33 | $112.20 | $138.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $48.98 Typical High $63.10 | Professional | 52 · Reduced service | $45.71 | $48.98 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $19.95 Typical High $25.12 | Professional | 53 · Discontinued | $18.62 | $19.95 | $25.12 |
Ambetter Setting Professional Modifier None Typical Low $83.18 Median $114.82 Typical High $125.89 | Professional | None | $83.18 | $114.82 | $125.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $93.33 Median $112.20 Typical High $128.82 | Professional | None | $93.33 | $112.20 | $128.82 |
CDPHP Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $169.82 | Professional | None | $154.88 | $154.88 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $309.03 | Facility | None | $169.82 | $169.82 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $120.23 Typical High $131.83 | Professional | None | $89.13 | $120.23 | $131.83 |
Emblem Health Setting Facility Modifier None Typical Low $0.10 Median $91.20 Typical High $245.47 | Facility | None | $0.10 | $91.20 | $245.47 |
Emblem Health Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
Excellus BCBS Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $120.23 | Facility | None | $61.66 | $61.66 | $120.23 |
Excellus BCBS Setting Professional Modifier None Typical Low $54.95 Median $102.33 Typical High $144.54 | Professional | None | $54.95 | $102.33 | $144.54 |
Highmark BCBS Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $151.36 | Facility | None | $147.91 | $147.91 | $151.36 |
Highmark BCBS Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
MVP Health Care Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
MVP Health Care Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $169.82 | Professional | None | $97.72 | $97.72 | $169.82 |
Optum Setting Professional Modifier None Typical Low $120.23 Median $131.83 Typical High $131.83 | Professional | None | $120.23 | $131.83 | $131.83 |
United Setting Facility Modifier None Typical Low $436.52 Median $501.19 Typical High $616.60 | Facility | None | $436.52 | $501.19 | $616.60 |
United Setting Professional Modifier None Typical Low $91.20 Median $125.89 Typical High $199.53 | Professional | None | $91.20 | $125.89 | $199.53 |
Univera Setting Facility Modifier None Typical Low $61.66 Median $120.23 Typical High $151.36 | Facility | None | $61.66 | $120.23 | $151.36 |
Univera Setting Professional Modifier None Typical Low $54.95 Median $107.15 Typical High $144.54 | Professional | None | $54.95 | $107.15 | $144.54 |
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 |
|---|---|---|---|---|---|
Emblem Health Setting Facility Modifier 59 · Distinct service Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | 59 · Distinct service | $0.10 | $0.10 | $0.10 |
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 2.3 times more in Alaska than in Kentucky. 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· 31st of 51
$115
AK $219KY $93.33
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.