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 $363.08 Median $537.03 Typical High $2,041.74 | Facility | None | $363.08 | $537.03 | $2,041.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $562.34 | Professional | None (both parts) | $363.08 | $363.08 | $562.34 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $12.30 Median $12.30 Typical High $512.86 | Professional | None (both parts) | $12.30 | $12.30 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $977.24 Typical High $2,398.83 | Facility | None | $645.65 | $977.24 | $2,398.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $758.58 Median $954.99 Typical High $3,162.28 | Professional | None (both parts) | $758.58 | $954.99 | $3,162.28 |
Emblem Health Setting Facility Modifier None Typical Low $660.69 Median $1,096.48 Typical High $2,398.83 | Facility | None | $660.69 | $1,096.48 | $2,398.83 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $331.13 Median $794.33 Typical High $1,862.09 | Professional | None (both parts) | $331.13 | $794.33 | $1,862.09 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $398.11 Median $660.69 Typical High $724.44 | Professional | None (both parts) | $398.11 | $660.69 | $724.44 |
MVP Health Care Setting Facility Modifier None Typical Low $870.96 Median $1,258.93 Typical High $3,467.37 | Facility | None | $870.96 | $1,258.93 | $3,467.37 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $1,380.38 | Professional | None (both parts) | $426.58 | $426.58 | $1,380.38 |
United Setting Facility Modifier None Typical Low $602.56 Median $660.69 Typical High $831.76 | Facility | None | $602.56 | $660.69 | $831.76 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $389.05 Typical High $1,000.00 | Professional | None (both parts) | $275.42 | $389.05 | $1,000.00 |
Univera Setting Facility Modifier None Typical Low $436.52 Median $707.95 Typical High $758.58 | Facility | None | $436.52 | $707.95 | $758.58 |
Univera Setting Professional Modifier None (both parts) Typical Low $398.11 Median $630.96 Typical High $724.44 | Professional | None (both parts) | $398.11 | $630.96 | $724.44 |
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 52 · Reduced service Typical Low $181.97 Median $181.97 Typical High $281.84 | Professional | 52 · Reduced service | $181.97 | $181.97 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $72.44 Typical High $112.20 | Professional | 53 · Discontinued | $72.44 | $72.44 | $112.20 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $154.88 Median $724.44 Typical High $1,023.29 | Facility | TC · Technical part | $154.88 | $724.44 | $1,023.29 |
Where New York sits
The same service costs 114.8 times more in Wisconsin 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· 45th of 51
$363
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.