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 $19.95 Median $22.39 Typical High $39.81 | Facility | None | $19.95 | $22.39 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $22.39 | Professional | None | $18.62 | $18.62 | $22.39 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $69.18 | Facility | None | $26.30 | $26.30 | $69.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.18 Median $31.62 Typical High $75.86 | Professional | None | $13.18 | $31.62 | $75.86 |
CDPHP Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $57.54 Typical High $75.86 | Facility | None | $25.70 | $57.54 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Emblem Health Setting Facility Modifier None Typical Low $26.30 Median $43.65 Typical High $77.62 | Facility | None | $26.30 | $43.65 | $77.62 |
Emblem Health Setting Professional Modifier None Typical Low $24.55 Median $30.20 Typical High $38.02 | Professional | None | $24.55 | $30.20 | $38.02 |
Excellus BCBS Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $39.81 | Professional | None | $26.30 | $26.30 | $39.81 |
Highmark BCBS Setting Facility Modifier None Typical Low $18.20 Median $40.74 Typical High $186.21 | Facility | None | $18.20 | $40.74 | $186.21 |
MVP Health Care Setting Facility Modifier None Typical Low $26.30 Median $47.86 Typical High $138.04 | Facility | None | $26.30 | $47.86 | $138.04 |
MVP Health Care Setting Professional Modifier None Typical Low $21.38 Median $21.88 Typical High $54.95 | Professional | None | $21.38 | $21.88 | $54.95 |
United Setting Facility Modifier None Typical Low $23.99 Median $26.30 Typical High $33.11 | Facility | None | $23.99 | $26.30 | $33.11 |
United Setting Professional Modifier None Typical Low $11.22 Median $12.59 Typical High $39.81 | Professional | None | $11.22 | $12.59 | $39.81 |
Univera Setting Facility Modifier None Typical Low $26.30 Median $30.20 Typical High $30.90 | Facility | None | $26.30 | $30.20 | $30.90 |
Univera Setting Professional Modifier None Typical Low $22.39 Median $26.30 Typical High $38.90 | Professional | None | $22.39 | $26.30 | $38.90 |
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 $9.33 Median $9.33 Typical High $11.22 | Professional | 52 · Reduced service | $9.33 | $9.33 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $3.72 Typical High $4.47 | Professional | 53 · Discontinued | $3.72 | $3.72 | $4.47 |
Where New York sits
The same service costs 5.6 times more in Alaska than in Delaware. 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· 43rd of 51
$22.39
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.