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 $19.95 Median $24.55 Typical High $93.33 | Facility | None | $19.95 | $24.55 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $23.44 Typical High $28.84 | Professional | None | $19.95 | $23.44 | $28.84 |
Ambetter Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $27.54 Median $36.31 Typical High $36.31 | Professional | None | $27.54 | $36.31 | $36.31 |
CDPHP Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $40.74 Typical High $63.10 | Professional | None | $26.92 | $40.74 | $63.10 |
Emblem Health Setting Facility Modifier None Typical Low $26.92 Median $36.31 Typical High $109.65 | Facility | None | $26.92 | $36.31 | $109.65 |
Emblem Health Setting Professional Modifier None Typical Low $44.67 Median $51.29 Typical High $75.86 | Professional | None | $44.67 | $51.29 | $75.86 |
Excellus BCBS Setting Professional Modifier None Typical Low $33.11 Median $37.15 Typical High $43.65 | Professional | None | $33.11 | $37.15 | $43.65 |
Highmark BCBS 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 $30.90 Median $60.26 Typical High $60.26 | Professional | None | $30.90 | $60.26 | $60.26 |
United Setting Facility Modifier None Typical Low $43.65 Median $50.12 Typical High $61.66 | Facility | None | $43.65 | $50.12 | $61.66 |
United Setting Professional Modifier None Typical Low $30.90 Median $54.95 Typical High $67.61 | Professional | None | $30.90 | $54.95 | $67.61 |
Univera Setting Facility Modifier None Typical Low $33.11 Median $37.15 Typical High $134.90 | Facility | None | $33.11 | $37.15 | $134.90 |
Univera Setting Professional Modifier None Typical Low $26.92 Median $37.15 Typical High $43.65 | Professional | None | $26.92 | $37.15 | $43.65 |
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 |
|---|---|---|---|---|---|
Fidelis Setting Professional Modifier AT · Acute treatment Typical Low $38.90 Median $38.90 Typical High $40.74 | Professional | AT · Acute treatment | $38.90 | $38.90 | $40.74 |
Highmark BCBS Setting Professional Modifier AT · Acute treatment Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | AT · Acute treatment | $35.48 | $35.48 | $35.48 |
Where New York sits
The same service costs 2.8 times more in Alaska than in Washington, DC. 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· 29th of 51
$36.31
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.