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 $50.12 Median $64.57 Typical High $173.78 | Facility | None | $50.12 | $64.57 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $91.20 | Professional | None | $50.12 | $50.12 | $91.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $43.65 Median $51.29 Typical High $66.07 | Professional | None | $43.65 | $51.29 | $66.07 |
CDPHP Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $61.66 Typical High $141.25 | Professional | None | $45.71 | $61.66 | $141.25 |
Emblem Health Setting Facility Modifier None Typical Low $35.48 Median $60.26 Typical High $204.17 | Facility | None | $35.48 | $60.26 | $204.17 |
Emblem Health Setting Professional Modifier None Typical Low $61.66 Median $66.07 Typical High $107.15 | Professional | None | $61.66 | $66.07 | $107.15 |
Excellus BCBS Setting Professional Modifier None Typical Low $38.90 Median $52.48 Typical High $72.44 | Professional | None | $38.90 | $52.48 | $72.44 |
Highmark BCBS Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
MVP Health Care Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
MVP Health Care Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $91.20 | Professional | None | $48.98 | $48.98 | $91.20 |
United Setting Professional Modifier None Typical Low $43.65 Median $64.57 Typical High $144.54 | Professional | None | $43.65 | $64.57 | $144.54 |
Univera Setting Facility Modifier None Typical Low $38.90 Median $61.66 Typical High $79.43 | Facility | None | $38.90 | $61.66 | $79.43 |
Univera Setting Professional Modifier None Typical Low $38.90 Median $52.48 Typical High $72.44 | Professional | None | $38.90 | $52.48 | $72.44 |
1 more rate 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 $10.00 Median $10.00 Typical High $14.45 | Professional | 53 · Discontinued | $10.00 | $10.00 | $14.45 |
Where New York sits
The same service costs 3.1 times more in Alaska than in New York. 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· 51st of 51
$51.29
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.