How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $331.13 Median $512.86 Typical High $2,691.53 | Facility | None | $331.13 | $512.86 | $2,691.53 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $512.86 | Professional | None | $331.13 | $331.13 | $512.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $1,230.27 | Professional | None | $371.54 | $371.54 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $891.25 Typical High $2,187.76 | Facility | None | $588.84 | $891.25 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,951.21 | $2,951.21 | $2,951.21 |
Emblem Health Setting Facility Modifier None Typical Low $602.56 Median $1,000.00 Typical High $2,187.76 | Facility | None | $602.56 | $1,000.00 | $2,187.76 |
Emblem Health Setting Professional Modifier None Typical Low $602.56 Median $724.44 Typical High $1,122.02 | Professional | None | $602.56 | $724.44 | $1,122.02 |
Excellus BCBS Setting Professional Modifier None Typical Low $398.11 Median $602.56 Typical High $676.08 | Professional | None | $398.11 | $602.56 | $676.08 |
MVP Health Care Setting Facility Modifier None Typical Low $602.56 Median $1,096.48 Typical High $3,162.28 | Facility | None | $602.56 | $1,096.48 | $3,162.28 |
MVP Health Care Setting Professional Modifier None Typical Low $398.11 Median $457.09 Typical High $1,258.93 | Professional | None | $398.11 | $457.09 | $1,258.93 |
United Setting Facility Modifier None Typical Low $549.54 Median $602.56 Typical High $758.58 | Facility | None | $549.54 | $602.56 | $758.58 |
United Setting Professional Modifier None Typical Low $257.04 Median $295.12 Typical High $933.25 | Professional | None | $257.04 | $295.12 | $933.25 |
Univera Setting Facility Modifier None Typical Low $398.11 Median $616.60 Typical High $691.83 | Facility | None | $398.11 | $616.60 | $691.83 |
Univera Setting Professional Modifier None Typical Low $398.11 Median $602.56 Typical High $676.08 | Professional | None | $398.11 | $602.56 | $676.08 |
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 $165.96 Median $165.96 Typical High $257.04 | Professional | 52 · Reduced service | $165.96 | $165.96 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $102.33 | Professional | 53 · Discontinued | $66.07 | $66.07 | $102.33 |
Where New York sits
The same service costs 47.9 times more in Texas 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· 44th of 51
$398
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.