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 $24.55 Median $25.70 Typical High $39.81 | Facility | None | $24.55 | $25.70 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $25.70 Typical High $39.81 | Professional | None | $24.55 | $25.70 | $39.81 |
Ambetter Setting Professional Modifier None Typical Low $30.90 Median $33.11 Typical High $34.67 | Professional | None | $30.90 | $33.11 | $34.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $18.20 Median $21.38 Typical High $36.31 | Professional | None | $18.20 | $21.38 | $36.31 |
CDPHP Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $46.77 | Professional | None | $45.71 | $45.71 | $46.77 |
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 $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
Emblem Health Setting Facility Modifier None Typical Low $22.91 Median $31.62 Typical High $102.33 | Facility | None | $22.91 | $31.62 | $102.33 |
Emblem Health Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $67.61 | Professional | None | $39.81 | $39.81 | $67.61 |
Excellus BCBS Setting Professional Modifier None Typical Low $23.44 Median $30.20 Typical High $38.02 | Professional | None | $23.44 | $30.20 | $38.02 |
Highmark BCBS Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Highmark BCBS Setting Professional Modifier None Typical Low $31.62 Median $38.90 Typical High $61.66 | Professional | None | $31.62 | $38.90 | $61.66 |
MVP Health Care Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $45.71 | Professional | None | $28.84 | $28.84 | $45.71 |
Optum Setting Professional Modifier None Typical Low $30.90 Median $36.31 Typical High $45.71 | Professional | None | $30.90 | $36.31 | $45.71 |
United Setting Professional Modifier None Typical Low $21.38 Median $28.18 Typical High $42.66 | Professional | None | $21.38 | $28.18 | $42.66 |
Univera Setting Facility Modifier None Typical Low $26.30 Median $30.90 Typical High $33.11 | Facility | None | $26.30 | $30.90 | $33.11 |
Univera Setting Professional Modifier None Typical Low $23.44 Median $30.20 Typical High $38.02 | Professional | None | $23.44 | $30.20 | $38.02 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.30 Median $12.88 Typical High $12.88 | Professional | 52 · Reduced service | $12.30 | $12.88 | $12.88 |
Where New York sits
The same service costs 3.1 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
$24.55
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.