How much rates vary
Facilitymedian $69 · 10th to 90th $36 to $166Professionalmedian $65 · 10th to 90th $55 to $141
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 $57.54 Median $67.61 Typical High $109.65 | Facility | None | $57.54 | $67.61 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $63.10 Typical High $102.33 | Professional | None | $57.54 | $63.10 | $102.33 |
Ambetter Setting Professional Modifier None Typical Low $54.95 Median $72.44 Typical High $91.20 | Professional | None | $54.95 | $72.44 | $91.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $54.95 Median $64.57 Typical High $102.33 | Professional | None | $54.95 | $64.57 | $102.33 |
CDPHP Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $120.23 | Professional | None | $109.65 | $109.65 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $64.57 Typical High $141.25 | Professional | None | $58.88 | $64.57 | $141.25 |
Emblem Health Setting Facility Modifier None Typical Low $0.10 Median $56.23 Typical High $165.96 | Facility | None | $0.10 | $56.23 | $165.96 |
Emblem Health Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $169.82 | Professional | None | $87.10 | $87.10 | $169.82 |
Excellus BCBS Setting Professional Modifier None Typical Low $39.81 Median $79.43 Typical High $97.72 | Professional | None | $39.81 | $79.43 | $97.72 |
Highmark BCBS Setting Professional Modifier None Typical Low $81.28 Median $112.20 Typical High $169.82 | Professional | None | $81.28 | $112.20 | $169.82 |
MVP Health Care Setting Professional Modifier None Typical Low $204.17 Median $467.74 Typical High $467.74 | Professional | None | $204.17 | $467.74 | $467.74 |
United Setting Facility Modifier None Typical Low $204.17 Median $239.88 Typical High $295.12 | Facility | None | $204.17 | $239.88 | $295.12 |
United Setting Professional Modifier None Typical Low $51.29 Median $69.18 Typical High $104.71 | Professional | None | $51.29 | $69.18 | $104.71 |
Univera Setting Facility Modifier None Typical Low $42.66 Median $70.79 Typical High $141.25 | Facility | None | $42.66 | $70.79 | $141.25 |
Univera Setting Professional Modifier None Typical Low $39.81 Median $79.43 Typical High $97.72 | Professional | None | $39.81 | $79.43 | $97.72 |
7 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 $28.84 Median $31.62 Typical High $33.88 | Professional | 52 · Reduced service | $28.84 | $31.62 | $33.88 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $64.57 Median $75.86 Typical High $95.50 | Professional | 25 · Same-day visit | $64.57 | $75.86 | $95.50 |
Ambetter Setting Professional Modifier 33 · Preventive service Typical Low $64.57 Median $85.11 Typical High $89.13 | Professional | 33 · Preventive service | $64.57 | $85.11 | $89.13 |
Emblem Health Setting Professional Modifier GQ · Store-and-forward telehealth Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | GQ · Store-and-forward telehealth | $14.79 | $14.79 | $14.79 |
Fidelis Setting Professional Modifier 25 · Same-day visit Typical Low $77.62 Median $93.33 Typical High $100.00 | Professional | 25 · Same-day visit | $77.62 | $93.33 | $100.00 |
Fidelis Setting Professional Modifier 33 · Preventive service Typical Low $102.33 Median $104.71 Typical High $104.71 | Professional | 33 · Preventive service | $102.33 | $104.71 | $104.71 |
Highmark BCBS Setting Facility Modifier 25 · Same-day visit Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | 25 · Same-day visit | $467.74 | $467.74 | $467.74 |
Where New York sits
The same service costs 2.8 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
$64.57
AK $182NY $64.57
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.