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 $18.62 Median $24.55 Typical High $57.54 | Facility | None | $18.62 | $24.55 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $42.66 | Professional | None | $18.62 | $18.62 | $42.66 |
Ambetter Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.38 Median $25.70 Typical High $38.02 | Professional | None | $21.38 | $25.70 | $38.02 |
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 $37.15 Median $57.54 Typical High $128.82 | Facility | None | $37.15 | $57.54 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $25.70 Typical High $38.02 | Professional | None | $15.14 | $25.70 | $38.02 |
Emblem Health Setting Facility Modifier None Typical Low $26.30 Median $33.11 Typical High $93.33 | Facility | None | $26.30 | $33.11 | $93.33 |
Emblem Health Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $48.98 | Professional | None | $28.84 | $28.84 | $48.98 |
Excellus BCBS Setting Professional Modifier None Typical Low $19.05 Median $22.39 Typical High $30.90 | Professional | None | $19.05 | $22.39 | $30.90 |
Highmark BCBS Setting Facility Modifier None Typical Low $18.20 Median $22.39 Typical High $63.10 | Facility | None | $18.20 | $22.39 | $63.10 |
Highmark BCBS Setting Professional Modifier None Typical Low $15.49 Median $18.20 Typical High $29.51 | Professional | None | $15.49 | $18.20 | $29.51 |
MVP Health Care Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $38.02 | Professional | None | $30.20 | $30.20 | $38.02 |
United Setting Facility Modifier None Typical Low $75.86 Median $87.10 Typical High $107.15 | Facility | None | $75.86 | $87.10 | $107.15 |
United Setting Professional Modifier None Typical Low $16.98 Median $22.91 Typical High $38.02 | Professional | None | $16.98 | $22.91 | $38.02 |
Univera Setting Facility Modifier None Typical Low $23.44 Median $26.30 Typical High $63.10 | Facility | None | $23.44 | $26.30 | $63.10 |
Univera Setting Professional Modifier None Typical Low $16.60 Median $22.39 Typical High $30.90 | Professional | None | $16.60 | $22.39 | $30.90 |
3 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.33 Median $9.33 Typical High $13.80 | Professional | 52 · Reduced service | $9.33 | $9.33 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $3.72 Typical High $5.62 | Professional | 53 · Discontinued | $3.72 | $3.72 | $5.62 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $14.45 Typical High $16.98 | Professional | 53 · Discontinued | $11.22 | $14.45 | $16.98 |
Where New York sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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· 32nd of 51
$25.70
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.