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 $25.70 Median $134.90 Typical High $295.12 | Facility | None | $25.70 | $134.90 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $151.36 | Professional | None | $25.70 | $25.70 | $151.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.48 Median $13.49 Typical High $117.49 | Professional | None | $11.48 | $13.49 | $117.49 |
CDPHP Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $741.31 | Facility | None | $190.55 | $190.55 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $107.15 Typical High $213.80 | Professional | None | $81.28 | $107.15 | $213.80 |
Emblem Health Setting Facility Modifier None Typical Low $134.90 Median $213.80 Typical High $512.86 | Facility | None | $134.90 | $213.80 | $512.86 |
Emblem Health Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $251.19 | Professional | None | $147.91 | $147.91 | $251.19 |
Excellus BCBS Setting Professional Modifier None Typical Low $100.00 Median $117.49 Typical High $151.36 | Professional | None | $100.00 | $117.49 | $151.36 |
MVP Health Care Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $158.49 | Professional | None | $15.49 | $15.49 | $158.49 |
United Setting Professional Modifier None Typical Low $91.20 Median $128.82 Typical High $204.17 | Professional | None | $91.20 | $128.82 | $204.17 |
Univera Setting Facility Modifier None Typical Low $28.18 Median $117.49 Typical High $131.83 | Facility | None | $28.18 | $117.49 | $131.83 |
Univera Setting Professional Modifier None Typical Low $83.18 Median $117.49 Typical High $151.36 | Professional | None | $83.18 | $117.49 | $151.36 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $12.88 Typical High $75.86 | Professional | 52 · Reduced service | $12.88 | $12.88 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.13 Typical High $30.20 | Professional | 53 · Discontinued | $5.13 | $5.13 | $30.20 |
Where New York sits
The same service costs 21.4 times more in Alaska than in New York. 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· 51st of 51
$15.49
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.