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 $57.54 Median $75.86 Typical High $91.20 | Facility | None | $57.54 | $75.86 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $75.86 | Professional | None | $57.54 | $57.54 | $75.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $74.13 Median $85.11 Typical High $95.50 | Professional | None | $74.13 | $85.11 | $95.50 |
CDPHP Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |
Emblem Health Setting Facility Modifier None Typical Low $100.00 Median $190.55 Typical High $389.05 | Facility | None | $100.00 | $190.55 | $389.05 |
Emblem Health Setting Professional Modifier None Typical Low $102.33 Median $104.71 Typical High $158.49 | Professional | None | $102.33 | $104.71 | $158.49 |
Excellus BCBS Setting Professional Modifier None Typical Low $72.44 Median $87.10 Typical High $141.25 | Professional | None | $72.44 | $87.10 | $141.25 |
MVP Health Care Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $151.36 | Professional | None | $83.18 | $83.18 | $151.36 |
United Setting Professional Modifier None Typical Low $69.18 Median $112.20 Typical High $173.78 | Professional | None | $69.18 | $112.20 | $173.78 |
Univera Setting Facility Modifier None Typical Low $87.10 Median $100.00 Typical High $102.33 | Facility | None | $87.10 | $100.00 | $102.33 |
Univera Setting Professional Modifier None Typical Low $52.48 Median $87.10 Typical High $138.04 | Professional | None | $52.48 | $87.10 | $138.04 |
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 $28.84 Median $28.84 Typical High $38.02 | Professional | 52 · Reduced service | $28.84 | $28.84 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $15.14 | Professional | 53 · Discontinued | $11.48 | $11.48 | $15.14 |
Where New York sits
The same service costs 2.2 times more in Nebraska than in Texas. 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· 48th of 51
$83.18
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.