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 $14.79 Median $21.38 Typical High $128.82 | Facility | None | $14.79 | $21.38 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $22.39 Typical High $33.88 | Professional | None | $14.79 | $22.39 | $33.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.48 Median $14.13 Typical High $28.18 | Professional | None | $11.48 | $14.13 | $28.18 |
CDPHP Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $66.07 Typical High $245.47 | Facility | None | $25.12 | $66.07 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $33.88 Typical High $74.13 | Professional | None | $10.47 | $33.88 | $74.13 |
Emblem Health Setting Facility Modifier None Typical Low $0.10 Median $21.88 Typical High $44.67 | Facility | None | $0.10 | $21.88 | $44.67 |
Emblem Health Setting Professional Modifier None Typical Low $17.78 Median $28.18 Typical High $45.71 | Professional | None | $17.78 | $28.18 | $45.71 |
Excellus BCBS Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $14.13 | Facility | None | $13.49 | $13.49 | $14.13 |
Excellus BCBS Setting Professional Modifier None Typical Low $12.59 Median $13.49 Typical High $22.91 | Professional | None | $12.59 | $13.49 | $22.91 |
Highmark BCBS Setting Facility Modifier None Typical Low $33.11 Median $87.10 Typical High $177.83 | Facility | None | $33.11 | $87.10 | $177.83 |
Highmark BCBS Setting Professional Modifier None Typical Low $18.20 Median $33.88 Typical High $33.88 | Professional | None | $18.20 | $33.88 | $33.88 |
MVP Health Care Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
MVP Health Care Setting Professional Modifier None Typical Low $15.49 Median $33.88 Typical High $45.71 | Professional | None | $15.49 | $33.88 | $45.71 |
Optum Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $31.62 | Professional | None | $21.88 | $21.88 | $31.62 |
United Setting Facility Modifier None Typical Low $144.54 Median $169.82 Typical High $208.93 | Facility | None | $144.54 | $169.82 | $208.93 |
United Setting Professional Modifier None Typical Low $14.13 Median $20.89 Typical High $36.31 | Professional | None | $14.13 | $20.89 | $36.31 |
Univera Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $46.77 | Facility | None | $13.49 | $13.49 | $46.77 |
Univera Setting Professional Modifier None Typical Low $12.59 Median $14.45 Typical High $69.18 | Professional | None | $12.59 | $14.45 | $69.18 |
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 |
|---|---|---|---|---|---|
Fidelis Setting Professional Modifier 59 · Distinct service Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | 59 · Distinct service | $12.02 | $12.02 | $12.02 |
Where New York sits
The same service costs 7.4 times more in Vermont than in New York. 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· 51st of 51
$15.14
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.