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 $407.38 Median $616.60 Typical High $2,290.87 | Facility | None | $407.38 | $616.60 | $2,290.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $407.38 Typical High $630.96 | Professional | None (both parts) | $407.38 | $407.38 | $630.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $1,513.56 | Professional | None (both parts) | $338.84 | $338.84 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $1,096.48 Typical High $2,691.53 | Facility | None | $724.44 | $1,096.48 | $2,691.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,071.52 Typical High $3,630.78 | Professional | None (both parts) | $870.96 | $1,071.52 | $3,630.78 |
Emblem Health Setting Facility Modifier None Typical Low $758.58 Median $1,230.27 Typical High $2,691.53 | Facility | None | $758.58 | $1,230.27 | $2,691.53 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $354.81 Median $446.68 Typical High $2,137.96 | Professional | None (both parts) | $354.81 | $446.68 | $2,137.96 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $457.09 Median $724.44 Typical High $831.76 | Professional | None (both parts) | $457.09 | $724.44 | $831.76 |
MVP Health Care Setting Facility Modifier None Typical Low $758.58 Median $1,348.96 Typical High $3,890.45 | Facility | None | $758.58 | $1,348.96 | $3,890.45 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $489.78 Median $489.78 Typical High $1,548.82 | Professional | None (both parts) | $489.78 | $489.78 | $1,548.82 |
United Setting Facility Modifier None Typical Low $676.08 Median $758.58 Typical High $933.25 | Facility | None | $676.08 | $758.58 | $933.25 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $436.52 Typical High $1,122.02 | Professional | None (both parts) | $316.23 | $436.52 | $1,122.02 |
Univera Setting Facility Modifier None Typical Low $489.78 Median $758.58 Typical High $870.96 | Facility | None | $489.78 | $758.58 | $870.96 |
Univera Setting Professional Modifier None (both parts) Typical Low $457.09 Median $707.95 Typical High $831.76 | Professional | None (both parts) | $457.09 | $707.95 | $831.76 |
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 $204.17 Median $204.17 Typical High $316.23 | Professional | 52 · Reduced service | $204.17 | $204.17 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $128.82 | Professional | 53 · Discontinued | $81.28 | $81.28 | $128.82 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $173.78 Median $812.83 Typical High $1,148.15 | Facility | TC · Technical part | $173.78 | $812.83 | $1,148.15 |
Where New York sits
The same service costs 26.9 times more in Alaska 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
$490
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.