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 $102.33 Median $138.04 Typical High $707.95 | Facility | None | $102.33 | $138.04 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $213.80 | Professional | None | $102.33 | $102.33 | $213.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $93.33 Median $109.65 Typical High $194.98 | Professional | None | $93.33 | $109.65 | $194.98 |
CDPHP Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None | $234.42 | $234.42 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Emblem Health Setting Facility Modifier None Typical Low $144.54 Median $204.17 Typical High $660.69 | Facility | None | $144.54 | $204.17 | $660.69 |
Emblem Health Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $346.74 | Professional | None | $204.17 | $204.17 | $346.74 |
Excellus BCBS Setting Professional Modifier None Typical Low $131.83 Median $154.88 Typical High $190.55 | Professional | None | $131.83 | $154.88 | $190.55 |
Highmark BCBS Setting Professional Modifier None Typical Low $154.88 Median $190.55 Typical High $269.15 | Professional | None | $154.88 | $190.55 | $269.15 |
MVP Health Care Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $229.09 | Professional | None | $38.90 | $38.90 | $229.09 |
United Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $229.09 | Facility | None | $173.78 | $173.78 | $229.09 |
United Setting Professional Modifier None Typical Low $128.82 Median $162.18 Typical High $218.78 | Professional | None | $128.82 | $162.18 | $218.78 |
Univera Setting Facility Modifier None Typical Low $154.88 Median $177.83 Typical High $177.83 | Facility | None | $154.88 | $177.83 | $177.83 |
Univera Setting Professional Modifier None Typical Low $112.20 Median $154.88 Typical High $190.55 | Professional | None | $112.20 | $154.88 | $190.55 |
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 $29.51 Median $30.20 Typical High $30.20 | Professional | GQ · Store-and-forward telehealth | $29.51 | $30.20 | $30.20 |
Where New York sits
The same service costs 2.6 times more in North Dakota 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
$115
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.