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 $15.85 Median $22.39 Typical High $33.11 | Facility | None | $15.85 | $22.39 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $16.98 Typical High $30.20 | Professional | None | $15.85 | $16.98 | $30.20 |
Ambetter Setting Professional Modifier None Typical Low $23.99 Median $27.54 Typical High $39.81 | Professional | None | $23.99 | $27.54 | $39.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.50 Median $22.91 Typical High $32.36 | Professional | None | $19.50 | $22.91 | $32.36 |
CDPHP Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $40.74 | Professional | None | $37.15 | $37.15 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
Emblem Health Setting Facility Modifier None Typical Low $20.89 Median $26.30 Typical High $85.11 | Facility | None | $20.89 | $26.30 | $85.11 |
Emblem Health Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $56.23 | Professional | None | $33.88 | $33.88 | $56.23 |
Excellus BCBS Setting Professional Modifier None Typical Low $22.39 Median $26.30 Typical High $30.20 | Professional | None | $22.39 | $26.30 | $30.20 |
Highmark BCBS Setting Facility Modifier None Typical Low $50.12 Median $81.28 Typical High $91.20 | Facility | None | $50.12 | $81.28 | $91.20 |
Highmark BCBS Setting Professional Modifier None Typical Low $26.30 Median $31.62 Typical High $69.18 | Professional | None | $26.30 | $31.62 | $69.18 |
MVP Health Care Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $41.69 | Professional | None | $24.55 | $24.55 | $41.69 |
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 $19.50 Median $26.92 Typical High $36.31 | Professional | None | $19.50 | $26.92 | $36.31 |
Univera Setting Facility Modifier None Typical Low $23.99 Median $26.92 Typical High $27.54 | Facility | None | $23.99 | $26.92 | $27.54 |
Univera Setting Professional Modifier None Typical Low $19.05 Median $23.99 Typical High $30.20 | Professional | None | $19.05 | $23.99 | $30.20 |
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 $7.94 Median $8.51 Typical High $11.22 | Professional | 52 · Reduced service | $7.94 | $8.51 | $11.22 |
Emblem Health Setting Professional Modifier GQ · Store-and-forward telehealth Typical Low $4.79 Median $4.90 Typical High $4.90 | Professional | GQ · Store-and-forward telehealth | $4.79 | $4.90 | $4.90 |
Where New York sits
The same service costs 3.0 times more in North Carolina 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
$23.99
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.