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 $61.66 Median $85.11 Typical High $1,023.29 | Facility | None | $61.66 | $85.11 | $1,023.29 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $83.18 | Professional | None | $61.66 | $61.66 | $83.18 |
Ambetter Setting Professional Modifier None Typical Low $53.70 Median $61.66 Typical High $63.10 | Professional | None | $53.70 | $61.66 | $63.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $102.33 Median $120.23 Typical High $141.25 | Professional | None | $102.33 | $120.23 | $141.25 |
CDPHP Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $104.71 Typical High $2,754.23 | Facility | None | $93.33 | $104.71 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $75.86 Typical High $144.54 | Professional | None | $70.79 | $75.86 | $144.54 |
Emblem Health Setting Facility Modifier None Typical Low $77.62 Median $107.15 Typical High $263.03 | Facility | None | $77.62 | $107.15 | $263.03 |
Emblem Health Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $134.90 | Professional | None | $79.43 | $79.43 | $134.90 |
Excellus BCBS Setting Professional Modifier None Typical Low $53.70 Median $67.61 Typical High $95.50 | Professional | None | $53.70 | $67.61 | $95.50 |
Highmark BCBS Setting Facility Modifier None Typical Low $75.86 Median $125.89 Typical High $524.81 | Facility | None | $75.86 | $125.89 | $524.81 |
Highmark BCBS Setting Professional Modifier None Typical Low $79.43 Median $112.20 Typical High $131.83 | Professional | None | $79.43 | $112.20 | $131.83 |
MVP Health Care Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $97.72 | Professional | None | $72.44 | $72.44 | $97.72 |
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 $46.77 Median $69.18 Typical High $102.33 | Professional | None | $46.77 | $69.18 | $102.33 |
Univera Setting Facility Modifier None Typical Low $69.18 Median $79.43 Typical High $162.18 | Facility | None | $69.18 | $79.43 | $162.18 |
Univera Setting Professional Modifier None Typical Low $53.70 Median $67.61 Typical High $95.50 | Professional | None | $53.70 | $67.61 | $95.50 |
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 XU · Unusual separate service Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | XU · Unusual separate service | $91.20 | $91.20 | $91.20 |
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· 13th of 51
$107
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.