How much rates vary
Facilitymedian $23 · 10th to 90th $19 to $331Professionalmedian $16 · 10th to 90th $13 to $25
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 $25.12 Median $223.87 Typical High $389.05 | Facility | None | $25.12 | $223.87 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $24.55 Typical High $25.12 | Professional | None | $21.88 | $24.55 | $25.12 |
Ambetter Setting Professional Modifier None Typical Low $18.20 Median $19.95 Typical High $20.89 | Professional | None | $18.20 | $19.95 | $20.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $34.67 Median $38.90 Typical High $47.86 | Facility | None | $34.67 | $38.90 | $47.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.59 Median $15.14 Typical High $17.38 | Professional | None | $12.59 | $15.14 | $17.38 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $75.86 | Facility | None | $41.69 | $41.69 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $28.18 Typical High $123.03 | Professional | None | $19.05 | $28.18 | $123.03 |
Emblem Health Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $22.39 | Professional | None | $15.85 | $15.85 | $22.39 |
Excellus BCBS Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $22.91 | Facility | None | $19.05 | $19.05 | $22.91 |
Excellus BCBS Setting Professional Modifier None Typical Low $13.80 Median $19.05 Typical High $38.90 | Professional | None | $13.80 | $19.05 | $38.90 |
Highmark BCBS Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | None | $10.47 | $10.47 | $10.47 |
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 $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
Optum Setting Professional Modifier None Typical Low $17.38 Median $19.50 Typical High $19.50 | Professional | None | $17.38 | $19.50 | $19.50 |
Optum Setting Professional Modifier HN · Bachelor's level Typical Low $14.79 Median $14.79 Typical High $16.60 | Professional | HN · Bachelor's level | $14.79 | $14.79 | $16.60 |
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 $19.05 Median $37.15 Typical High $83.18 | Professional | None | $19.05 | $37.15 | $83.18 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $14.79 Median $14.79 Typical High $16.60 | Professional | HN · Bachelor's level | $14.79 | $14.79 | $16.60 |
Univera Setting Facility Modifier None Typical Low $16.60 Median $19.05 Typical High $38.02 | Facility | None | $16.60 | $19.05 | $38.02 |
Univera Setting Professional Modifier None Typical Low $13.80 Median $16.22 Typical High $38.90 | Professional | None | $13.80 | $16.22 | $38.90 |
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 $17.38 Median $17.38 Typical High $19.50 | Professional | HO · Master's level | $17.38 | $17.38 | $19.50 |
United Setting Professional Modifier HP · Doctoral level Typical Low $17.38 Median $17.38 Typical High $19.50 | Professional | HP · Doctoral level | $17.38 | $17.38 | $19.50 |
Where New York sits
The same service costs 4.7 times more in Wyoming 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· 47th of 51
$16.22
WY $52.48AL $11.22
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.