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 $74.13 Median $91.20 Typical High $1,023.29 | Facility | None | $74.13 | $91.20 | $1,023.29 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $100.00 | Professional | None | $74.13 | $74.13 | $100.00 |
Ambetter Setting Professional Modifier None Typical Low $61.66 Median $69.18 Typical High $75.86 | Professional | None | $61.66 | $69.18 | $75.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $117.49 Median $138.04 Typical High $162.18 | Professional | None | $117.49 | $138.04 | $162.18 |
CDPHP Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None | $112.20 | $112.20 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $112.20 Typical High $1,479.11 | Facility | None | $45.71 | $112.20 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $165.96 | Professional | None | $81.28 | $81.28 | $165.96 |
Emblem Health Setting Facility Modifier None Typical Low $56.23 Median $85.11 Typical High $257.04 | Facility | None | $56.23 | $85.11 | $257.04 |
Emblem Health Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $147.91 | Professional | None | $87.10 | $87.10 | $147.91 |
Excellus BCBS Setting Professional Modifier None Typical Low $57.54 Median $72.44 Typical High $93.33 | Professional | None | $57.54 | $72.44 | $93.33 |
Highmark BCBS Setting Facility Modifier None Typical Low $74.13 Median $181.97 Typical High $1,122.02 | Facility | None | $74.13 | $181.97 | $1,122.02 |
Highmark BCBS Setting Professional Modifier None Typical Low $63.10 Median $95.50 Typical High $107.15 | Professional | None | $63.10 | $95.50 | $107.15 |
MVP Health Care Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $107.15 | Professional | None | $57.54 | $57.54 | $107.15 |
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 $52.48 Median $77.62 Typical High $114.82 | Professional | None | $52.48 | $77.62 | $114.82 |
Univera Setting Facility Modifier None Typical Low $72.44 Median $75.86 Typical High $162.18 | Facility | None | $72.44 | $75.86 | $162.18 |
Univera Setting Professional Modifier None Typical Low $57.54 Median $72.44 Typical High $91.20 | Professional | None | $57.54 | $72.44 | $91.20 |
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 |
|---|---|---|---|---|---|
Fidelis Setting Professional Modifier 59 · Distinct service Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 59 · Distinct service | $74.13 | $74.13 | $74.13 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $51.29 Typical High $75.86 | Professional | 53 · Discontinued | $39.81 | $51.29 | $75.86 |
Where New York sits
The same service costs 3.0 times more in Alaska than in Florida. 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· 10th of 51
$123
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.