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 $117.49 Median $162.18 Typical High $190.55 | Facility | None | $117.49 | $162.18 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $186.21 | Professional | None | $117.49 | $117.49 | $186.21 |
Ambetter Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None | $302.00 | $302.00 | $302.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $117.49 Median $138.04 Typical High $251.19 | Professional | None | $117.49 | $138.04 | $251.19 |
CDPHP Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None | $295.12 | $295.12 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
Emblem Health Setting Facility Modifier None Typical Low $190.55 Median $223.87 Typical High $707.95 | Facility | None | $190.55 | $223.87 | $707.95 |
Emblem Health Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $363.08 | Professional | None | $218.78 | $218.78 | $363.08 |
Excellus BCBS Setting Professional Modifier None Typical Low $114.82 Median $194.98 Typical High $239.88 | Professional | None | $114.82 | $194.98 | $239.88 |
Highmark BCBS Setting Professional Modifier None Typical Low $194.98 Median $229.09 Typical High $331.13 | Professional | None | $194.98 | $229.09 | $331.13 |
MVP Health Care Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $295.12 | Professional | None | $169.82 | $169.82 | $295.12 |
United Setting Professional Modifier None Typical Low $134.90 Median $204.17 Typical High $295.12 | Professional | None | $134.90 | $204.17 | $295.12 |
Univera Setting Facility Modifier None Typical Low $114.82 Median $194.98 Typical High $223.87 | Facility | None | $114.82 | $194.98 | $223.87 |
Univera Setting Professional Modifier None Typical Low $114.82 Median $177.83 Typical High $239.88 | Professional | None | $114.82 | $177.83 | $239.88 |
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 $58.88 Median $58.88 Typical High $81.28 | Professional | 52 · Reduced service | $58.88 | $58.88 | $81.28 |
Emblem Health Setting Professional Modifier GQ · Store-and-forward telehealth Typical Low $30.90 Median $31.62 Typical High $31.62 | Professional | GQ · Store-and-forward telehealth | $30.90 | $31.62 | $31.62 |
Where New York sits
The same service costs 3.6 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
$148
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.