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 $38.02 Median $45.71 Typical High $97.72 | Facility | None | $38.02 | $45.71 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $50.12 | Professional | None | $38.02 | $38.02 | $50.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $24.55 Median $30.20 Typical High $64.57 | Professional | None | $24.55 | $30.20 | $64.57 |
CDPHP Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $223.87 | Facility | None | $66.07 | $66.07 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $34.67 Typical High $69.18 | Professional | None | $25.12 | $34.67 | $69.18 |
Emblem Health Setting Facility Modifier None Typical Low $41.69 Median $66.07 Typical High $162.18 | Facility | None | $41.69 | $66.07 | $162.18 |
Emblem Health Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $77.62 | Professional | None | $46.77 | $46.77 | $77.62 |
Excellus BCBS Setting Professional Modifier None Typical Low $32.36 Median $38.02 Typical High $54.95 | Professional | None | $32.36 | $38.02 | $54.95 |
MVP Health Care Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $61.66 | Professional | None | $38.02 | $38.02 | $61.66 |
United Setting Professional Modifier None Typical Low $28.18 Median $43.65 Typical High $69.18 | Professional | None | $28.18 | $43.65 | $69.18 |
Univera Setting Facility Modifier None Typical Low $40.74 Median $45.71 Typical High $52.48 | Facility | None | $40.74 | $45.71 | $52.48 |
Univera Setting Professional Modifier None Typical Low $28.18 Median $38.02 Typical High $54.95 | Professional | None | $28.18 | $38.02 | $54.95 |
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 $19.05 Median $19.05 Typical High $25.12 | Professional | 52 · Reduced service | $19.05 | $19.05 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.59 Typical High $10.00 | Professional | 53 · Discontinued | $7.59 | $7.59 | $10.00 |
Where New York sits
The same service costs 6.0 times more in Alaska than in Ohio. 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· 48th of 51
$32.36
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.