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 $416.87 Median $426.58 Typical High $467.74 | Facility | None | $416.87 | $426.58 | $467.74 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $524.81 | Professional | None | $426.58 | $426.58 | $524.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $426.58 Median $501.19 Typical High $724.44 | Professional | None | $426.58 | $501.19 | $724.44 |
CDPHP Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $436.52 Typical High $1,047.13 | Professional | None | $407.38 | $436.52 | $1,047.13 |
Emblem Health Setting Facility Modifier None Typical Low $416.87 Median $562.34 Typical High $1,778.28 | Facility | None | $416.87 | $562.34 | $1,778.28 |
Emblem Health Setting Professional Modifier None Typical Low $275.42 Median $549.54 Typical High $912.01 | Professional | None | $275.42 | $549.54 | $912.01 |
Excellus BCBS Setting Professional Modifier None Typical Low $275.42 Median $467.74 Typical High $645.65 | Professional | None | $275.42 | $467.74 | $645.65 |
Highmark BCBS Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $977.24 | Professional | None | $707.95 | $707.95 | $977.24 |
MVP Health Care Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $794.33 | Professional | None | $354.81 | $354.81 | $794.33 |
United Setting Professional Modifier None Typical Low $323.59 Median $457.09 Typical High $758.58 | Professional | None | $323.59 | $457.09 | $758.58 |
Univera Setting Facility Modifier None Typical Low $316.23 Median $524.81 Typical High $1,819.70 | Facility | None | $316.23 | $524.81 | $1,819.70 |
Univera Setting Professional Modifier None Typical Low $275.42 Median $467.74 Typical High $645.65 | Professional | None | $275.42 | $467.74 | $645.65 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $467.74 Median $467.74 Typical High $489.78 | Professional | 25 · Same-day visit | $467.74 | $467.74 | $489.78 |
Where New York sits
The same service costs 3.0 times more in Alaska than in Florida. 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· 49th of 51
$468
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.