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 $416.87 Median $616.60 Typical High $2,344.23 | Facility | None | $416.87 | $616.60 | $2,344.23 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $645.65 | Professional | None | $416.87 | $416.87 | $645.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $1,202.26 | Professional | None | $169.82 | $169.82 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,122.02 Typical High $2,754.23 | Facility | None | $741.31 | $1,122.02 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Professional | None | $3,630.78 | $3,630.78 | $3,630.78 |
Emblem Health Setting Facility Modifier None Typical Low $758.58 Median $1,258.93 Typical High $2,754.23 | Facility | None | $758.58 | $1,258.93 | $2,754.23 |
Emblem Health Setting Professional Modifier None Typical Low $794.33 Median $912.01 Typical High $1,412.54 | Professional | None | $794.33 | $912.01 | $1,412.54 |
Excellus BCBS Setting Professional Modifier None Typical Low $501.19 Median $758.58 Typical High $851.14 | Professional | None | $501.19 | $758.58 | $851.14 |
MVP Health Care Setting Facility Modifier None Typical Low $758.58 Median $1,380.38 Typical High $3,981.07 | Facility | None | $758.58 | $1,380.38 | $3,981.07 |
MVP Health Care Setting Professional Modifier None Typical Low $489.78 Median $575.44 Typical High $1,548.82 | Professional | None | $489.78 | $575.44 | $1,548.82 |
United Setting Facility Modifier None Typical Low $691.83 Median $758.58 Typical High $954.99 | Facility | None | $691.83 | $758.58 | $954.99 |
United Setting Professional Modifier None Typical Low $316.23 Median $371.54 Typical High $1,148.15 | Professional | None | $316.23 | $371.54 | $1,148.15 |
Univera Setting Facility Modifier None Typical Low $501.19 Median $776.25 Typical High $870.96 | Facility | None | $501.19 | $776.25 | $870.96 |
Univera Setting Professional Modifier None Typical Low $501.19 Median $758.58 Typical High $831.76 | Professional | None | $501.19 | $758.58 | $831.76 |
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 $208.93 Median $208.93 Typical High $323.59 | Professional | 52 · Reduced service | $208.93 | $208.93 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $128.82 | Professional | 53 · Discontinued | $83.18 | $83.18 | $128.82 |
Where New York sits
The same service costs 12.0 times more in Texas than in Ohio. 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
$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.