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 $15.14 Median $21.38 Typical High $24.55 | Facility | None | $15.14 | $21.38 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $22.91 | Professional | None | $15.14 | $15.14 | $22.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.05 Median $22.39 Typical High $30.90 | Professional | None | $19.05 | $22.39 | $30.90 |
CDPHP Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
Emblem Health Setting Facility Modifier None Typical Low $23.99 Median $31.62 Typical High $102.33 | Facility | None | $23.99 | $31.62 | $102.33 |
Emblem Health Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $53.70 | Professional | None | $32.36 | $32.36 | $53.70 |
Excellus BCBS Setting Professional Modifier None Typical Low $20.89 Median $24.55 Typical High $33.11 | Professional | None | $20.89 | $24.55 | $33.11 |
MVP Health Care Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $35.48 | Professional | None | $21.88 | $21.88 | $35.48 |
United Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $35.48 | Facility | None | $27.54 | $27.54 | $35.48 |
United Setting Professional Modifier None Typical Low $19.50 Median $25.12 Typical High $35.48 | Professional | None | $19.50 | $25.12 | $35.48 |
Univera Setting Facility Modifier None Typical Low $24.55 Median $28.18 Typical High $28.18 | Facility | None | $24.55 | $28.18 | $28.18 |
Univera Setting Professional Modifier None Typical Low $17.78 Median $24.55 Typical High $33.11 | Professional | None | $17.78 | $24.55 | $33.11 |
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 $4.57 Median $4.68 Typical High $4.68 | Professional | GQ · Store-and-forward telehealth | $4.57 | $4.68 | $4.68 |
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
$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.