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 $436.52 Median $645.65 Typical High $2,454.71 | Facility | None | $436.52 | $645.65 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $676.08 | Professional | None | $436.52 | $436.52 | $676.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $630.96 | Professional | None | $239.88 | $239.88 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,148.15 Typical High $2,884.03 | Facility | None | $776.25 | $1,148.15 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Professional | None | $3,801.89 | $3,801.89 | $3,801.89 |
Emblem Health Setting Facility Modifier None Typical Low $794.33 Median $1,318.26 Typical High $2,884.03 | Facility | None | $794.33 | $1,318.26 | $2,884.03 |
Emblem Health Setting Professional Modifier None Typical Low $831.76 Median $954.99 Typical High $1,479.11 | Professional | None | $831.76 | $954.99 | $1,479.11 |
Excellus BCBS Setting Professional Modifier None Typical Low $524.81 Median $794.33 Typical High $891.25 | Professional | None | $524.81 | $794.33 | $891.25 |
MVP Health Care Setting Facility Modifier None Typical Low $794.33 Median $1,445.44 Typical High $4,168.69 | Facility | None | $794.33 | $1,445.44 | $4,168.69 |
MVP Health Care Setting Professional Modifier None Typical Low $512.86 Median $602.56 Typical High $1,621.81 | Professional | None | $512.86 | $602.56 | $1,621.81 |
United Setting Facility Modifier None Typical Low $707.95 Median $794.33 Typical High $1,000.00 | Facility | None | $707.95 | $794.33 | $1,000.00 |
United Setting Professional Modifier None Typical Low $331.13 Median $389.05 Typical High $1,202.26 | Professional | None | $331.13 | $389.05 | $1,202.26 |
Univera Setting Facility Modifier None Typical Low $524.81 Median $831.76 Typical High $912.01 | Facility | None | $524.81 | $831.76 | $912.01 |
Univera Setting Professional Modifier None Typical Low $524.81 Median $794.33 Typical High $870.96 | Professional | None | $524.81 | $794.33 | $870.96 |
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 $218.78 Median $218.78 Typical High $338.84 | Professional | 52 · Reduced service | $218.78 | $218.78 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $87.10 Typical High $134.90 | Professional | 53 · Discontinued | $87.10 | $87.10 | $134.90 |
Where New York sits
The same service costs 12.0 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
$513
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.