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 $57.54 Median $72.44 Typical High $295.12 | Facility | None | $57.54 | $72.44 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $57.54 Typical High $69.18 | Professional | None | $51.29 | $57.54 | $69.18 |
Ambetter Setting Professional Modifier None Typical Low $50.12 Median $56.23 Typical High $234.42 | Professional | None | $50.12 | $56.23 | $234.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $46.77 Median $56.23 Typical High $64.57 | Professional | None | $46.77 | $56.23 | $64.57 |
CDPHP Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $93.33 | Professional | None | $83.18 | $83.18 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $52.48 Typical High $109.65 | Professional | None | $40.74 | $52.48 | $109.65 |
Emblem Health Setting Facility Modifier None Typical Low $51.29 Median $70.79 Typical High $218.78 | Facility | None | $51.29 | $70.79 | $218.78 |
Emblem Health Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
Excellus BCBS Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Excellus BCBS Setting Professional Modifier None Typical Low $30.20 Median $61.66 Typical High $79.43 | Professional | None | $30.20 | $61.66 | $79.43 |
Highmark BCBS Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Highmark BCBS Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None | $91.20 | $91.20 | $91.20 |
MVP Health Care Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $97.72 | Professional | None | $56.23 | $56.23 | $97.72 |
Optum Setting Professional Modifier None Typical Low $48.98 Median $53.70 Typical High $70.79 | Professional | None | $48.98 | $53.70 | $70.79 |
United Setting Facility Modifier None Typical Low $354.81 Median $416.87 Typical High $512.86 | Facility | None | $354.81 | $416.87 | $512.86 |
United Setting Professional Modifier None Typical Low $48.98 Median $53.70 Typical High $77.62 | Professional | None | $48.98 | $53.70 | $77.62 |
Univera Setting Facility Modifier None Typical Low $29.51 Median $58.88 Typical High $89.13 | Facility | None | $29.51 | $58.88 | $89.13 |
Univera Setting Professional Modifier None Typical Low $30.20 Median $61.66 Typical High $79.43 | Professional | None | $30.20 | $61.66 | $79.43 |
1 more rate 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 |
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· 44th of 51
$56.23
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.