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 $47.86 Median $48.98 Typical High $56.23 | Facility | None | $47.86 | $48.98 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $53.70 | Professional | None | $48.98 | $48.98 | $53.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $51.29 Median $60.26 Typical High $66.07 | Professional | None | $51.29 | $60.26 | $66.07 |
CDPHP Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None | $93.33 | $93.33 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $51.29 Typical High $123.03 | Professional | None | $46.77 | $51.29 | $123.03 |
Emblem Health Setting Facility Modifier None Typical Low $58.88 Median $93.33 Typical High $223.87 | Facility | None | $58.88 | $93.33 | $223.87 |
Emblem Health Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $107.15 | Professional | None | $64.57 | $64.57 | $107.15 |
Excellus BCBS Setting Professional Modifier None Typical Low $30.20 Median $53.70 Typical High $79.43 | Professional | None | $30.20 | $53.70 | $79.43 |
MVP Health Care Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
United Setting Professional Modifier None Typical Low $37.15 Median $56.23 Typical High $89.13 | Professional | None | $37.15 | $56.23 | $89.13 |
Univera Setting Facility Modifier None Typical Low $35.48 Median $58.88 Typical High $151.36 | Facility | None | $35.48 | $58.88 | $151.36 |
Univera Setting Professional Modifier None Typical Low $30.20 Median $51.29 Typical High $74.13 | Professional | None | $30.20 | $51.29 | $74.13 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $24.55 Median $24.55 Typical High $26.92 | Professional | 52 · Reduced service | $24.55 | $24.55 | $26.92 |
Where New York sits
The same service costs 2.8 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· 48th of 51
$58.88
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.