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 $18.62 Median $25.12 Typical High $45.71 | Facility | None | $18.62 | $25.12 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $37.15 Typical High $37.15 | Professional | None | $18.62 | $37.15 | $37.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $63.10 | Facility | None | $23.99 | $23.99 | $63.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.02 Median $18.62 Typical High $54.95 | Professional | None | $12.02 | $18.62 | $54.95 |
CDPHP Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None | $23.99 | $23.99 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $51.29 Typical High $69.18 | Facility | None | $23.44 | $51.29 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $114.82 | Professional | None | $12.88 | $12.88 | $114.82 |
Emblem Health Setting Facility Modifier None Typical Low $23.99 Median $39.81 Typical High $87.10 | Facility | None | $23.99 | $39.81 | $87.10 |
Emblem Health Setting Professional Modifier None Typical Low $11.22 Median $14.45 Typical High $67.61 | Professional | None | $11.22 | $14.45 | $67.61 |
Excellus BCBS Setting Professional Modifier None Typical Low $18.20 Median $23.99 Typical High $27.54 | Professional | None | $18.20 | $23.99 | $27.54 |
Highmark BCBS Setting Facility Modifier None Typical Low $20.89 Median $33.88 Typical High $109.65 | Facility | None | $20.89 | $33.88 | $109.65 |
MVP Health Care Setting Facility Modifier None Typical Low $23.99 Median $43.65 Typical High $125.89 | Facility | None | $23.99 | $43.65 | $125.89 |
MVP Health Care Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $50.12 | Professional | None | $19.50 | $19.50 | $50.12 |
United Setting Facility Modifier None Typical Low $21.88 Median $23.99 Typical High $30.20 | Facility | None | $21.88 | $23.99 | $30.20 |
United Setting Professional Modifier None Typical Low $10.00 Median $14.45 Typical High $36.31 | Professional | None | $10.00 | $14.45 | $36.31 |
Univera Setting Facility Modifier None Typical Low $23.99 Median $27.54 Typical High $27.54 | Facility | None | $23.99 | $27.54 | $27.54 |
Univera Setting Professional Modifier None Typical Low $17.78 Median $23.99 Typical High $27.54 | Professional | None | $17.78 | $23.99 | $27.54 |
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 $10.23 Median $18.62 Typical High $18.62 | Professional | 52 · Reduced service | $10.23 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $7.41 Typical High $7.41 | Professional | 53 · Discontinued | $4.07 | $7.41 | $7.41 |
Where New York sits
The same service costs 3.6 times more in Hawaii than in Maryland. 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· 27th of 51
$22.91
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.