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 $389.05 Median $588.84 Typical High $2,187.76 | Facility | None | $389.05 | $588.84 | $2,187.76 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $616.60 | Professional | None (both parts) | $389.05 | $389.05 | $616.60 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $1,148.15 | Professional | None (both parts) | $229.09 | $229.09 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $1,047.13 Typical High $2,570.40 | Facility | None | $467.74 | $1,047.13 | $2,570.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | None (both parts) | $3,467.37 | $3,467.37 | $3,467.37 |
Emblem Health Setting Facility Modifier None Typical Low $724.44 Median $1,174.90 Typical High $2,630.27 | Facility | None | $724.44 | $1,174.90 | $2,630.27 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $758.58 Median $870.96 Typical High $1,318.26 | Professional | None (both parts) | $758.58 | $870.96 | $1,318.26 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $467.74 Median $724.44 Typical High $812.83 | Professional | None (both parts) | $467.74 | $724.44 | $812.83 |
MVP Health Care Setting Facility Modifier None Typical Low $724.44 Median $1,288.25 Typical High $3,801.89 | Facility | None | $724.44 | $1,288.25 | $3,801.89 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $467.74 Median $537.03 Typical High $1,479.11 | Professional | None (both parts) | $467.74 | $537.03 | $1,479.11 |
United Setting Facility Modifier None Typical Low $645.65 Median $724.44 Typical High $891.25 | Facility | None | $645.65 | $724.44 | $891.25 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $354.81 Typical High $1,096.48 | Professional | None (both parts) | $302.00 | $354.81 | $1,096.48 |
Univera Setting Facility Modifier None Typical Low $467.74 Median $724.44 Typical High $831.76 | Facility | None | $467.74 | $724.44 | $831.76 |
Univera Setting Professional Modifier None (both parts) Typical Low $467.74 Median $724.44 Typical High $794.33 | Professional | None (both parts) | $467.74 | $724.44 | $794.33 |
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 $562.34 Median $616.60 Typical High $616.60 | Professional | 26 · Professional part | $562.34 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $194.98 Median $194.98 Typical High $309.03 | Professional | 52 · Reduced service | $194.98 | $194.98 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $77.62 Typical High $123.03 | Professional | 53 · Discontinued | $77.62 | $77.62 | $123.03 |
Where New York sits
The same service costs 10.2 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· 43rd of 51
$468
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.