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 $81.28 Median $102.33 Typical High $158.49 | Facility | None | $81.28 | $102.33 | $158.49 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $85.11 Typical High $102.33 | Professional | None | $75.86 | $85.11 | $102.33 |
Ambetter Setting Professional Modifier None Typical Low $81.28 Median $109.65 Typical High $117.49 | Professional | None | $81.28 | $109.65 | $117.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $69.18 Median $83.18 Typical High $95.50 | Professional | None | $69.18 | $83.18 | $95.50 |
CDPHP Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $138.04 | Professional | None | $123.03 | $123.03 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $77.62 Typical High $162.18 | Professional | None | $60.26 | $77.62 | $162.18 |
Emblem Health Setting Facility Modifier None Typical Low $75.86 Median $102.33 Typical High $316.23 | Facility | None | $75.86 | $102.33 | $316.23 |
Emblem Health Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
Excellus BCBS Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Excellus BCBS Setting Professional Modifier None Typical Low $44.67 Median $89.13 Typical High $114.82 | Professional | None | $44.67 | $89.13 | $114.82 |
Highmark BCBS Setting Facility Modifier None Typical Low $134.90 Median $151.36 Typical High $275.42 | Facility | None | $134.90 | $151.36 | $275.42 |
Highmark BCBS Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
MVP Health Care Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $144.54 | Professional | None | $83.18 | $83.18 | $144.54 |
Optum Setting Professional Modifier None Typical Low $70.79 Median $79.43 Typical High $104.71 | Professional | None | $70.79 | $79.43 | $104.71 |
United Setting Facility Modifier None Typical Low $204.17 Median $239.88 Typical High $295.12 | Facility | None | $204.17 | $239.88 | $295.12 |
United Setting Professional Modifier None Typical Low $70.79 Median $79.43 Typical High $114.82 | Professional | None | $70.79 | $79.43 | $114.82 |
Univera Setting Facility Modifier None Typical Low $43.65 Median $85.11 Typical High $131.83 | Facility | None | $43.65 | $85.11 | $131.83 |
Univera Setting Professional Modifier None Typical Low $44.67 Median $89.13 Typical High $114.82 | Professional | None | $44.67 | $89.13 | $114.82 |
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 |
|---|---|---|---|---|---|
Emblem Health Setting Facility Modifier AF · Specialist physician Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | AF · Specialist physician | $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 3.0 times more in Alaska than in Oklahoma. 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· 43rd of 51
$83.18
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.