How much rates vary
Facilitymedian $17 · 10th to 90th $14 to $331Professionalmedian $13 · 10th to 90th $10 to $20
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 $19.05 Median $223.87 Typical High $389.05 | Facility | None | $19.05 | $223.87 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $18.20 Typical High $19.05 | Professional | None | $17.38 | $18.20 | $19.05 |
Ambetter Setting Professional Modifier None Typical Low $12.30 Median $21.88 Typical High $27.54 | Professional | None | $12.30 | $21.88 | $27.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $58.88 Median $67.61 Typical High $83.18 | Facility | None | $58.88 | $67.61 | $83.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.00 Median $12.02 Typical High $13.80 | Professional | None | $10.00 | $12.02 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $56.23 Typical High $56.23 | Facility | None | $54.95 | $56.23 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $19.95 Typical High $158.49 | Professional | None | $10.00 | $19.95 | $158.49 |
Emblem Health Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $19.05 | Professional | None | $12.02 | $12.02 | $19.05 |
Excellus BCBS Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $17.38 | Facility | None | $14.45 | $14.45 | $17.38 |
Excellus BCBS Setting Professional Modifier None Typical Low $12.88 Median $20.42 Typical High $41.69 | Professional | None | $12.88 | $20.42 | $41.69 |
Highmark BCBS Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Highmark BCBS Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | None | $12.88 | $12.88 | $12.88 |
MVP Health Care Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
MVP Health Care Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
Optum Setting Professional Modifier None Typical Low $16.60 Median $18.62 Typical High $18.62 | Professional | None | $16.60 | $18.62 | $18.62 |
Optum Setting Professional Modifier HM · Below bachelor's level Typical Low $12.59 Median $12.59 Typical High $13.80 | Professional | HM · Below bachelor's level | $12.59 | $12.59 | $13.80 |
Optum Setting Professional Modifier HN · Bachelor's level Typical Low $14.13 Median $14.13 Typical High $15.49 | Professional | HN · Bachelor's level | $14.13 | $14.13 | $15.49 |
United Setting Facility Modifier None Typical Low $204.17 Median $239.88 Typical High $295.12 | Facility | None | $204.17 | $239.88 | $295.12 |
United Setting Professional Modifier None Typical Low $28.18 Median $36.31 Typical High $79.43 | Professional | None | $28.18 | $36.31 | $79.43 |
United Setting Professional Modifier HM · Below bachelor's level Typical Low $12.59 Median $12.59 Typical High $13.80 | Professional | HM · Below bachelor's level | $12.59 | $12.59 | $13.80 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $14.13 Median $14.13 Typical High $15.49 | Professional | HN · Bachelor's level | $14.13 | $14.13 | $15.49 |
Univera Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $35.48 | Facility | None | $14.45 | $14.45 | $35.48 |
Univera Setting Professional Modifier None Typical Low $12.88 Median $19.95 Typical High $38.02 | Professional | None | $12.88 | $19.95 | $38.02 |
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 |
|---|---|---|---|---|---|
United Setting Professional Modifier HO · Master's level Typical Low $16.60 Median $16.60 Typical High $18.62 | Professional | HO · Master's level | $16.60 | $16.60 | $18.62 |
United Setting Professional Modifier HP · Doctoral level Typical Low $16.60 Median $16.60 Typical High $18.62 | Professional | HP · Doctoral level | $16.60 | $16.60 | $18.62 |
Where New York sits
The same service costs 4.5 times more in Wyoming than in West Virginia. 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· 49th of 51
$13.18
WY $48.98WV $10.96
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.