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 $45.71 Median $53.70 Typical High $63.10 | Facility | None | $45.71 | $53.70 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $48.98 Typical High $63.10 | Professional | None | $45.71 | $48.98 | $63.10 |
Ambetter Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $48.98 Median $57.54 Typical High $74.13 | Professional | None | $48.98 | $57.54 | $74.13 |
CDPHP Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $91.20 | Professional | None | $87.10 | $87.10 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Emblem Health Setting Facility Modifier None Typical Low $53.70 Median $63.10 Typical High $194.98 | Facility | None | $53.70 | $63.10 | $194.98 |
Emblem Health Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $128.82 | Professional | None | $75.86 | $75.86 | $128.82 |
Excellus BCBS Setting Professional Modifier None Typical Low $35.48 Median $63.10 Typical High $75.86 | Professional | None | $35.48 | $63.10 | $75.86 |
Highmark BCBS Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None | $58.88 | $58.88 | $58.88 |
MVP Health Care Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $87.10 | Professional | None | $54.95 | $54.95 | $87.10 |
United Setting Professional Modifier None Typical Low $44.67 Median $60.26 Typical High $81.28 | Professional | None | $44.67 | $60.26 | $81.28 |
Univera Setting Facility Modifier None Typical Low $33.11 Median $54.95 Typical High $63.10 | Facility | None | $33.11 | $54.95 | $63.10 |
Univera Setting Professional Modifier None Typical Low $35.48 Median $63.10 Typical High $75.86 | Professional | None | $35.48 | $63.10 | $75.86 |
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 $22.91 Median $24.55 Typical High $29.51 | Professional | 52 · Reduced service | $22.91 | $24.55 | $29.51 |
Emblem Health Setting Professional Modifier GQ · Store-and-forward telehealth Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | GQ · Store-and-forward telehealth | $10.96 | $10.96 | $10.96 |
Where New York sits
The same service costs 2.8 times more in Alaska than in Alabama. 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
$57.54
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.