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 $64.57 Median $89.13 Typical High $104.71 | Facility | None | $64.57 | $89.13 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $91.20 | Professional | None | $64.57 | $64.57 | $91.20 |
Ambetter Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $114.82 | Professional | None | $95.50 | $95.50 | $114.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $89.13 Median $104.71 Typical High $125.89 | Professional | None | $89.13 | $104.71 | $125.89 |
CDPHP Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None | $158.49 | $158.49 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
Emblem Health Setting Facility Modifier None Typical Low $107.15 Median $131.83 Typical High $426.58 | Facility | None | $107.15 | $131.83 | $426.58 |
Emblem Health Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $223.87 | Professional | None | $134.90 | $134.90 | $223.87 |
Excellus BCBS Setting Professional Modifier None Typical Low $87.10 Median $102.33 Typical High $125.89 | Professional | None | $87.10 | $102.33 | $125.89 |
MVP Health Care Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $151.36 | Professional | None | $50.12 | $50.12 | $151.36 |
United Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $147.91 | Facility | None | $114.82 | $114.82 | $147.91 |
United Setting Professional Modifier None Typical Low $83.18 Median $107.15 Typical High $147.91 | Professional | None | $83.18 | $107.15 | $147.91 |
Univera Setting Facility Modifier None Typical Low $102.33 Median $117.49 Typical High $117.49 | Facility | None | $102.33 | $117.49 | $117.49 |
Univera Setting Professional Modifier None Typical Low $74.13 Median $93.33 Typical High $120.23 | Professional | None | $74.13 | $93.33 | $120.23 |
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 |
|---|---|---|---|---|---|
Emblem Health Setting Professional Modifier GQ · Store-and-forward telehealth Typical Low $19.05 Median $19.50 Typical High $19.50 | Professional | GQ · Store-and-forward telehealth | $19.05 | $19.50 | $19.50 |
Where New York sits
The same service costs 2.8 times more in Alaska than in Texas. 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· 49th of 51
$102
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.