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 $10.72 Median $45.71 Typical High $79.43 | Facility | None | $10.72 | $45.71 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $44.67 Typical High $63.10 | Professional | None | $10.72 | $44.67 | $63.10 |
Ambetter Setting Professional Modifier None Typical Low $10.96 Median $17.78 Typical High $54.95 | Professional | None | $10.96 | $17.78 | $54.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $40.74 Median $47.86 Typical High $52.48 | Professional | None | $40.74 | $47.86 | $52.48 |
CDPHP Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $72.44 | Professional | None | $17.38 | $17.38 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $38.90 Typical High $91.20 | Professional | None | $9.77 | $38.90 | $91.20 |
Emblem Health Setting Facility Modifier None Typical Low $7.59 Median $12.59 Typical High $41.69 | Facility | None | $7.59 | $12.59 | $41.69 |
Emblem Health Setting Professional Modifier None Typical Low $60.26 Median $63.10 Typical High $104.71 | Professional | None | $60.26 | $63.10 | $104.71 |
Excellus BCBS Setting Professional Modifier None Typical Low $33.11 Median $48.98 Typical High $61.66 | Professional | None | $33.11 | $48.98 | $61.66 |
Highmark BCBS Setting Facility Modifier None Typical Low $97.72 Median $186.21 Typical High $416.87 | Facility | None | $97.72 | $186.21 | $416.87 |
MVP Health Care Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
MVP Health Care Setting Professional Modifier None Typical Low $69.18 Median $151.36 Typical High $151.36 | Professional | None | $69.18 | $151.36 | $151.36 |
United Setting Professional Modifier None Typical Low $10.00 Median $38.90 Typical High $83.18 | Professional | None | $10.00 | $38.90 | $83.18 |
Univera Setting Facility Modifier None Typical Low $8.13 Median $12.88 Typical High $19.50 | Facility | None | $8.13 | $12.88 | $19.50 |
Univera Setting Professional Modifier None Typical Low $33.11 Median $46.77 Typical High $61.66 | Professional | None | $33.11 | $46.77 | $61.66 |
4 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 53 · Discontinued Typical Low $2.14 Median $9.12 Typical High $10.72 | Professional | 53 · Discontinued | $2.14 | $9.12 | $10.72 |
Fidelis Setting Professional Modifier 59 · Distinct service Typical Low $12.30 Median $12.30 Typical High $13.80 | Professional | 59 · Distinct service | $12.30 | $12.30 | $13.80 |
Highmark BCBS Setting Professional Modifier 59 · Distinct service Typical Low $67.61 Median $173.78 Typical High $446.68 | Professional | 59 · Distinct service | $67.61 | $173.78 | $446.68 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $33.11 Typical High $53.70 | Professional | 53 · Discontinued | $25.70 | $33.11 | $53.70 |
Where New York sits
The same service costs 6.8 times more in Minnesota than in Georgia. 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· 22nd of 51
$45.71
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.