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 $251.19 Median $257.04 Typical High $281.84 | Facility | None | $251.19 | $257.04 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $323.59 | Professional | None | $257.04 | $257.04 | $323.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $257.04 Median $302.00 Typical High $436.52 | Professional | None | $257.04 | $302.00 | $436.52 |
CDPHP Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $263.03 Typical High $660.69 | Professional | None | $245.47 | $263.03 | $660.69 |
Emblem Health Setting Facility Modifier None Typical Low $251.19 Median $354.81 Typical High $1,148.15 | Facility | None | $251.19 | $354.81 | $1,148.15 |
Emblem Health Setting Professional Modifier None Typical Low $162.18 Median $354.81 Typical High $602.56 | Professional | None | $162.18 | $354.81 | $602.56 |
Excellus BCBS Setting Professional Modifier None Typical Low $162.18 Median $295.12 Typical High $398.11 | Professional | None | $162.18 | $295.12 | $398.11 |
Highmark BCBS Setting Professional Modifier None Typical Low $436.52 Median $446.68 Typical High $707.95 | Professional | None | $436.52 | $446.68 | $707.95 |
MVP Health Care Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $489.78 | Professional | None | $245.47 | $245.47 | $489.78 |
United Setting Professional Modifier None Typical Low $208.93 Median $281.84 Typical High $457.09 | Professional | None | $208.93 | $281.84 | $457.09 |
Univera Setting Facility Modifier None Typical Low $190.55 Median $316.23 Typical High $1,096.48 | Facility | None | $190.55 | $316.23 | $1,096.48 |
Univera Setting Professional Modifier None Typical Low $162.18 Median $295.12 Typical High $398.11 | Professional | None | $162.18 | $295.12 | $398.11 |
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 + GC · Resident with teaching physician Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | 25 · Same-day visit + GC · Resident with teaching physician | $302.00 | $302.00 | $302.00 |
Where New York sits
The same service costs 3.0 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· 50th of 51
$282
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.