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 $64.57 Median $123.03 Typical High $275.42 | Facility | None | $64.57 | $123.03 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $199.53 | Professional | None | $64.57 | $64.57 | $199.53 |
Ambetter Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None | $114.82 | $114.82 | $114.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $89.13 Median $109.65 Typical High $177.83 | Professional | None | $89.13 | $109.65 | $177.83 |
CDPHP Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $75.86 Typical High $691.83 | Facility | None | $46.77 | $75.86 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $97.72 Typical High $194.98 | Professional | None | $74.13 | $97.72 | $194.98 |
Emblem Health Setting Facility Modifier None Typical Low $30.20 Median $125.89 Typical High $446.68 | Facility | None | $30.20 | $125.89 | $446.68 |
Emblem Health Setting Professional Modifier None Typical Low $125.89 Median $138.04 Typical High $234.42 | Professional | None | $125.89 | $138.04 | $234.42 |
Excellus BCBS Setting Professional Modifier None Typical Low $93.33 Median $97.72 Typical High $144.54 | Professional | None | $93.33 | $97.72 | $144.54 |
Highmark BCBS Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $97.72 | Facility | None | $77.62 | $77.62 | $97.72 |
Highmark BCBS Setting Professional Modifier None Typical Low $72.44 Median $85.11 Typical High $134.90 | Professional | None | $72.44 | $85.11 | $134.90 |
MVP Health Care Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $151.36 | Professional | None | $36.31 | $36.31 | $151.36 |
United Setting Facility Modifier None Typical Low $117.49 Median $138.04 Typical High $169.82 | Facility | None | $117.49 | $138.04 | $169.82 |
United Setting Professional Modifier None Typical Low $75.86 Median $120.23 Typical High $173.78 | Professional | None | $75.86 | $120.23 | $173.78 |
Univera Setting Facility Modifier None Typical Low $107.15 Median $109.65 Typical High $141.25 | Facility | None | $107.15 | $109.65 | $141.25 |
Univera Setting Professional Modifier None Typical Low $93.33 Median $107.15 Typical High $144.54 | Professional | None | $93.33 | $107.15 | $144.54 |
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 $32.36 Median $32.36 Typical High $69.18 | Professional | 52 · Reduced service | $32.36 | $32.36 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $27.54 | Professional | 53 · Discontinued | $12.88 | $12.88 | $27.54 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $72.44 Typical High $87.10 | Professional | 53 · Discontinued | $58.88 | $72.44 | $87.10 |
Where New York sits
The same service costs 4.2 times more in Alaska than in Alabama. 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· 31st of 51
$110
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.