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 $194.98 Median $295.12 Typical High $1,096.48 | Facility | None | $194.98 | $295.12 | $1,096.48 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $309.03 | Professional | None | $194.98 | $194.98 | $309.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $26.30 Median $204.17 Typical High $562.34 | Professional | None | $26.30 | $204.17 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $524.81 Typical High $1,288.25 | Facility | None | $354.81 | $524.81 | $1,288.25 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,737.80 | $1,737.80 | $1,737.80 |
Emblem Health Setting Facility Modifier None Typical Low $30.90 Median $363.08 Typical High $812.83 | Facility | None | $30.90 | $363.08 | $812.83 |
Emblem Health Setting Professional Modifier None Typical Low $380.19 Median $436.52 Typical High $660.69 | Professional | None | $380.19 | $436.52 | $660.69 |
Excellus BCBS Setting Professional Modifier None Typical Low $245.47 Median $363.08 Typical High $398.11 | Professional | None | $245.47 | $363.08 | $398.11 |
MVP Health Care Setting Facility Modifier None Typical Low $467.74 Median $676.08 Typical High $1,905.46 | Facility | None | $467.74 | $676.08 | $1,905.46 |
MVP Health Care Setting Professional Modifier None Typical Low $234.42 Median $269.15 Typical High $741.31 | Professional | None | $234.42 | $269.15 | $741.31 |
United Setting Facility Modifier None Typical Low $323.59 Median $363.08 Typical High $446.68 | Facility | None | $323.59 | $363.08 | $446.68 |
United Setting Professional Modifier None Typical Low $151.36 Median $177.83 Typical High $549.54 | Professional | None | $151.36 | $177.83 | $549.54 |
Univera Setting Facility Modifier None Typical Low $234.42 Median $380.19 Typical High $416.87 | Facility | None | $234.42 | $380.19 | $416.87 |
Univera Setting Professional Modifier None Typical Low $234.42 Median $354.81 Typical High $398.11 | Professional | None | $234.42 | $354.81 | $398.11 |
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 $97.72 Median $97.72 Typical High $154.88 | Professional | 52 · Reduced service | $97.72 | $97.72 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $61.66 | Professional | 53 · Discontinued | $39.81 | $39.81 | $61.66 |
Where New York sits
The same service costs 12.0 times more in Texas than in New Mexico. 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· 40th of 51
$234
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.