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 $24.55 Median $29.51 Typical High $81.28 | Facility | None | $24.55 | $29.51 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $32.36 Typical High $41.69 | Professional | None | $24.55 | $32.36 | $41.69 |
Ambetter Setting Professional Modifier None Typical Low $33.88 Median $40.74 Typical High $44.67 | Professional | None | $33.88 | $40.74 | $44.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $34.67 Median $40.74 Typical High $48.98 | Professional | None | $34.67 | $40.74 | $48.98 |
CDPHP Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $57.54 | Professional | None | $44.67 | $44.67 | $57.54 |
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 $23.44 Median $31.62 Typical High $63.10 | Professional | None | $23.44 | $31.62 | $63.10 |
Emblem Health Setting Facility Modifier None Typical Low $28.18 Median $33.88 Typical High $102.33 | Facility | None | $28.18 | $33.88 | $102.33 |
Emblem Health Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $83.18 | Professional | None | $48.98 | $48.98 | $83.18 |
Excellus BCBS Setting Professional Modifier None Typical Low $19.05 Median $38.02 Typical High $46.77 | Professional | None | $19.05 | $38.02 | $46.77 |
Highmark BCBS Setting Professional Modifier None Typical Low $24.55 Median $37.15 Typical High $60.26 | Professional | None | $24.55 | $37.15 | $60.26 |
MVP Health Care Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $57.54 | Professional | None | $36.31 | $36.31 | $57.54 |
United Setting Professional Modifier None Typical Low $20.89 Median $31.62 Typical High $50.12 | Professional | None | $20.89 | $31.62 | $50.12 |
Univera Setting Facility Modifier None Typical Low $16.98 Median $28.18 Typical High $51.29 | Facility | None | $16.98 | $28.18 | $51.29 |
Univera Setting Professional Modifier None Typical Low $19.05 Median $38.02 Typical High $46.77 | Professional | None | $19.05 | $38.02 | $46.77 |
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 $14.79 Typical High $15.85 | Professional | 52 · Reduced service | $12.30 | $14.79 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $5.89 Typical High $6.46 | Professional | 53 · Discontinued | $4.90 | $5.89 | $6.46 |
Where New York sits
The same service costs 2.4 times more in Alaska than in New Jersey. 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· 38th 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.