How much rates vary
Facilitymedian $32 · 10th to 90th $11 to $46Professionalmedian $32 · 10th to 90th $25 to $41
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 $24.55 Median $31.62 Typical High $42.66 | Facility | None | $24.55 | $31.62 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $32.36 Typical High $42.66 | Professional | None | $24.55 | $32.36 | $42.66 |
Ambetter Setting Professional Modifier None Typical Low $27.54 Median $32.36 Typical High $36.31 | Professional | None | $27.54 | $32.36 | $36.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $26.92 Median $32.36 Typical High $37.15 | Professional | None | $26.92 | $32.36 | $37.15 |
CDPHP Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $50.12 | Professional | None | $46.77 | $46.77 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $23.44 Median $27.54 Typical High $72.44 | Professional | None | $23.44 | $27.54 | $72.44 |
Emblem Health Setting Facility Modifier None Typical Low $0.10 Median $10.96 Typical High $70.79 | Facility | None | $0.10 | $10.96 | $70.79 |
Emblem Health Setting Professional Modifier None Typical Low $34.67 Median $41.69 Typical High $60.26 | Professional | None | $34.67 | $41.69 | $60.26 |
Excellus BCBS Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $39.81 | Facility | None | $34.67 | $34.67 | $39.81 |
Excellus BCBS Setting Professional Modifier None Typical Low $16.60 Median $28.84 Typical High $39.81 | Professional | None | $16.60 | $28.84 | $39.81 |
Highmark BCBS Setting Facility Modifier None Typical Low $33.88 Median $100.00 Typical High $208.93 | Facility | None | $33.88 | $100.00 | $208.93 |
MVP Health Care Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $50.12 | Professional | None | $22.91 | $22.91 | $50.12 |
Optum Setting Professional Modifier None Typical Low $26.30 Median $28.84 Typical High $38.02 | Professional | None | $26.30 | $28.84 | $38.02 |
United Setting Professional Modifier None Typical Low $26.30 Median $28.84 Typical High $41.69 | Professional | None | $26.30 | $28.84 | $41.69 |
Univera Setting Facility Modifier None Typical Low $16.60 Median $30.20 Typical High $89.13 | Facility | None | $16.60 | $30.20 | $89.13 |
Univera Setting Professional Modifier None Typical Low $16.60 Median $28.18 Typical High $39.81 | Professional | None | $16.60 | $28.18 | $39.81 |
6 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 Facility Modifier AF · Specialist physician Typical Low $32.36 Median $42.66 Typical High $45.71 | Facility | AF · Specialist physician | $32.36 | $42.66 | $45.71 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $23.99 Median $32.36 Typical High $33.88 | Facility | HO · Master's level | $23.99 | $32.36 | $33.88 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $27.54 Median $36.31 Typical High $38.90 | Facility | TD · Registered nurse | $27.54 | $36.31 | $38.90 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $31.62 Median $42.66 Typical High $44.67 | Professional | AF · Specialist physician | $31.62 | $42.66 | $44.67 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $23.99 Median $32.36 Typical High $33.88 | Professional | HO · Master's level | $23.99 | $32.36 | $33.88 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $26.92 Median $36.31 Typical High $38.02 | Professional | TD · Registered nurse | $26.92 | $36.31 | $38.02 |
Where New York sits
The same service costs 2.3 times more in Alaska than in Arizona. 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· 24th of 51
$31.62
AK $54.95AZ $23.44
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.