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 $22.39 Median $28.18 Typical High $85.11 | Facility | None | $22.39 | $28.18 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $25.70 Typical High $32.36 | Professional | None | $19.95 | $25.70 | $32.36 |
Ambetter Setting Professional Modifier None Typical Low $25.70 Median $30.90 Typical High $38.90 | Professional | None | $25.70 | $30.90 | $38.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.94 Median $9.33 Typical High $10.47 | Professional | None | $7.94 | $9.33 | $10.47 |
CDPHP Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $46.77 | Professional | None | $45.71 | $45.71 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $22.91 Median $24.55 Typical High $57.54 | Professional | None | $22.91 | $24.55 | $57.54 |
Emblem Health Setting Facility Modifier None Typical Low $0.10 Median $33.11 Typical High $102.33 | Facility | None | $0.10 | $33.11 | $102.33 |
Emblem Health Setting Professional Modifier None Typical Low $13.80 Median $20.42 Typical High $47.86 | Professional | None | $13.80 | $20.42 | $47.86 |
Excellus BCBS Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
Excellus BCBS Setting Professional Modifier None Typical Low $17.38 Median $26.30 Typical High $36.31 | Professional | None | $17.38 | $26.30 | $36.31 |
Highmark BCBS Setting Facility Modifier None Typical Low $19.50 Median $28.84 Typical High $154.88 | Facility | None | $19.50 | $28.84 | $154.88 |
Highmark BCBS Setting Professional Modifier None Typical Low $34.67 Median $39.81 Typical High $63.10 | Professional | None | $34.67 | $39.81 | $63.10 |
MVP Health Care Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
MVP Health Care Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $45.71 | Professional | None | $27.54 | $27.54 | $45.71 |
Optum Setting Professional Modifier None Typical Low $30.90 Median $34.67 Typical High $36.31 | Professional | None | $30.90 | $34.67 | $36.31 |
United Setting Professional Modifier None Typical Low $20.89 Median $28.18 Typical High $42.66 | Professional | None | $20.89 | $28.18 | $42.66 |
Univera Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $33.88 | Facility | None | $25.70 | $25.70 | $33.88 |
Univera Setting Professional Modifier None Typical Low $17.38 Median $26.30 Typical High $34.67 | Professional | None | $17.38 | $26.30 | $34.67 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.30 Median $12.88 Typical High $14.45 | Professional | 52 · Reduced service | $12.30 | $12.88 | $14.45 |
Highmark BCBS Setting Professional Modifier 25 · Same-day visit Typical Low $35.48 Median $38.90 Typical High $39.81 | Professional | 25 · Same-day visit | $35.48 | $38.90 | $39.81 |
Where New York sits
The same service costs 2.5 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
$23.99
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.