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 $53.70 Median $60.26 Typical High $97.72 | Facility | None | $53.70 | $60.26 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $54.95 Typical High $83.18 | Professional | None | $53.70 | $54.95 | $83.18 |
Ambetter Setting Professional Modifier None Typical Low $64.57 Median $75.86 Typical High $120.23 | Professional | None | $64.57 | $75.86 | $120.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $47.86 Median $56.23 Typical High $89.13 | Professional | None | $47.86 | $56.23 | $89.13 |
CDPHP Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $104.71 | Professional | None | $102.33 | $102.33 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $56.23 Typical High $125.89 | Professional | None | $52.48 | $56.23 | $125.89 |
Emblem Health Setting Facility Modifier None Typical Low $33.88 Median $67.61 Typical High $239.88 | Facility | None | $33.88 | $67.61 | $239.88 |
Emblem Health Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $154.88 | Professional | None | $91.20 | $91.20 | $154.88 |
Excellus BCBS Setting Professional Modifier None Typical Low $33.88 Median $69.18 Typical High $83.18 | Professional | None | $33.88 | $69.18 | $83.18 |
Highmark BCBS Setting Professional Modifier None Typical Low $67.61 Median $95.50 Typical High $102.33 | Professional | None | $67.61 | $95.50 | $102.33 |
MVP Health Care Setting Professional Modifier None Typical Low $177.83 Median $467.74 Typical High $467.74 | Professional | None | $177.83 | $467.74 | $467.74 |
United Setting Professional Modifier None Typical Low $47.86 Median $61.66 Typical High $95.50 | Professional | None | $47.86 | $61.66 | $95.50 |
Univera Setting Facility Modifier None Typical Low $39.81 Median $66.07 Typical High $117.49 | Facility | None | $39.81 | $66.07 | $117.49 |
Univera Setting Professional Modifier None Typical Low $33.88 Median $67.61 Typical High $83.18 | Professional | None | $33.88 | $67.61 | $83.18 |
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 $26.92 Median $27.54 Typical High $30.20 | Professional | 52 · Reduced service | $26.92 | $27.54 | $30.20 |
Emblem Health Setting Professional Modifier GQ · Store-and-forward telehealth Typical Low $13.18 Median $13.49 Typical High $13.49 | Professional | GQ · Store-and-forward telehealth | $13.18 | $13.49 | $13.49 |
Where New York sits
The same service costs 3.0 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
$57.54
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.