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 $16.60 Median $19.95 Typical High $87.10 | Facility | None | $16.60 | $19.95 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $19.95 Typical High $36.31 | Professional | None | $16.60 | $19.95 | $36.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.18 Median $16.22 Typical High $28.84 | Professional | None | $13.18 | $16.22 | $28.84 |
CDPHP Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $66.07 Typical High $218.78 | Facility | None | $25.12 | $66.07 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $33.88 Typical High $85.11 | Professional | None | $12.02 | $33.88 | $85.11 |
Emblem Health Setting Facility Modifier None Typical Low $0.10 Median $28.84 Typical High $61.66 | Facility | None | $0.10 | $28.84 | $61.66 |
Emblem Health Setting Professional Modifier None Typical Low $18.62 Median $28.18 Typical High $47.86 | Professional | None | $18.62 | $28.18 | $47.86 |
Excellus BCBS Setting Professional Modifier None Typical Low $12.88 Median $15.14 Typical High $23.44 | Professional | None | $12.88 | $15.14 | $23.44 |
Highmark BCBS Setting Facility Modifier None Typical Low $42.66 Median $63.10 Typical High $162.18 | Facility | None | $42.66 | $63.10 | $162.18 |
MVP Health Care Setting Professional Modifier None Typical Low $21.88 Median $39.81 Typical High $40.74 | Professional | None | $21.88 | $39.81 | $40.74 |
United Setting Facility Modifier None Typical Low $93.33 Median $109.65 Typical High $134.90 | Facility | None | $93.33 | $109.65 | $134.90 |
United Setting Professional Modifier None Typical Low $14.45 Median $20.42 Typical High $39.81 | Professional | None | $14.45 | $20.42 | $39.81 |
Univera Setting Facility Modifier None Typical Low $14.79 Median $15.49 Typical High $77.62 | Facility | None | $14.79 | $15.49 | $77.62 |
Univera Setting Professional Modifier None Typical Low $14.79 Median $19.05 Typical High $77.62 | Professional | None | $14.79 | $19.05 | $77.62 |
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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Facility Modifier 59 · Distinct service Typical Low $47.86 Median $81.28 Typical High $169.82 | Facility | 59 · Distinct service | $47.86 | $81.28 | $169.82 |
Where New York sits
The same service costs 8.5 times more in Vermont than in Maryland. 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· 50th of 51
$16.98
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.