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 $77.62 Median $117.49 Typical High $436.52 | Facility | None | $77.62 | $117.49 | $436.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $120.23 | Professional | None (both parts) | $77.62 | $77.62 | $120.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $371.54 | Facility | None | $141.25 | $141.25 | $371.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $19.95 Median $25.12 Typical High $269.15 | Professional | None (both parts) | $19.95 | $25.12 | $269.15 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $141.25 | $141.25 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $302.00 Typical High $371.54 | Facility | None | $138.04 | $302.00 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None (both parts) | $691.83 | $691.83 | $691.83 |
Emblem Health Setting Facility Modifier None Typical Low $141.25 Median $234.42 Typical High $512.86 | Facility | None | $141.25 | $234.42 | $512.86 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $141.25 Median $169.82 Typical High $263.03 | Professional | None (both parts) | $141.25 | $169.82 | $263.03 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $97.72 Median $141.25 Typical High $158.49 | Professional | None (both parts) | $97.72 | $141.25 | $158.49 |
MVP Health Care Setting Facility Modifier None Typical Low $141.25 Median $257.04 Typical High $741.31 | Facility | None | $141.25 | $257.04 | $741.31 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $93.33 Median $107.15 Typical High $295.12 | Professional | None (both parts) | $93.33 | $107.15 | $295.12 |
United Setting Facility Modifier None Typical Low $128.82 Median $141.25 Typical High $177.83 | Facility | None | $128.82 | $141.25 | $177.83 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $69.18 Typical High $218.78 | Professional | None (both parts) | $60.26 | $69.18 | $218.78 |
Univera Setting Facility Modifier None Typical Low $93.33 Median $141.25 Typical High $162.18 | Facility | None | $93.33 | $141.25 | $162.18 |
Univera Setting Professional Modifier None (both parts) Typical Low $93.33 Median $134.90 Typical High $158.49 | Professional | None (both parts) | $93.33 | $134.90 | $158.49 |
3 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 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $120.23 | Professional | 26 · Professional part | $77.62 | $77.62 | $120.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $38.90 Typical High $60.26 | Professional | 52 · Reduced service | $38.90 | $38.90 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $23.99 | Professional | 53 · Discontinued | $15.49 | $15.49 | $23.99 |
Where New York sits
The same service costs 11.0 times more in Texas than in Georgia. 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· 46th of 51
$93.33
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.