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 $489.78 Median $741.31 Typical High $2,754.23 | Facility | None | $489.78 | $741.31 | $2,754.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $489.78 Typical High $758.58 | Professional | None (both parts) | $489.78 | $489.78 | $758.58 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $10.23 Median $10.23 Typical High $1,819.70 | Professional | None (both parts) | $10.23 | $10.23 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $1,318.26 Typical High $3,235.94 | Facility | None | $870.96 | $1,318.26 | $3,235.94 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,288.25 Typical High $4,365.16 | Professional | None (both parts) | $1,023.29 | $1,288.25 | $4,365.16 |
Emblem Health Setting Facility Modifier None Typical Low $891.25 Median $1,479.11 Typical High $2,454.71 | Facility | None | $891.25 | $1,479.11 | $2,454.71 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $416.87 Median $537.03 Typical High $2,570.40 | Professional | None (both parts) | $416.87 | $537.03 | $2,570.40 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $549.54 Median $851.14 Typical High $977.24 | Professional | None (both parts) | $549.54 | $851.14 | $977.24 |
MVP Health Care Setting Facility Modifier None Typical Low $891.25 Median $1,621.81 Typical High $4,677.35 | Facility | None | $891.25 | $1,621.81 | $4,677.35 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $588.84 Median $588.84 Typical High $1,862.09 | Professional | None (both parts) | $588.84 | $588.84 | $1,862.09 |
United Setting Professional Modifier None (both parts) Typical Low $380.19 Median $524.81 Typical High $1,348.96 | Professional | None (both parts) | $380.19 | $524.81 | $1,348.96 |
Univera Setting Facility Modifier None Typical Low $588.84 Median $912.01 Typical High $1,023.29 | Facility | None | $588.84 | $912.01 | $1,023.29 |
Univera Setting Professional Modifier None (both parts) Typical Low $549.54 Median $851.14 Typical High $977.24 | Professional | None (both parts) | $549.54 | $851.14 | $977.24 |
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 $245.47 Median $245.47 Typical High $380.19 | Professional | 52 · Reduced service | $245.47 | $245.47 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $97.72 Typical High $151.36 | Professional | 53 · Discontinued | $97.72 | $97.72 | $151.36 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $208.93 Median $977.24 Typical High $1,380.38 | Facility | TC · Technical part | $208.93 | $977.24 | $1,380.38 |
Where New York sits
The same service costs 31.6 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· 45th of 51
$537
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.