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 $724.44 Median $1,096.48 Typical High $4,073.80 | Facility | None | $724.44 | $1,096.48 | $4,073.80 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $1,148.15 | Professional | None | $724.44 | $724.44 | $1,148.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $2,570.40 | Professional | None | $426.58 | $426.58 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $1,949.84 Typical High $4,786.30 | Facility | None | $1,288.25 | $1,949.84 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $6,456.54 Median $6,456.54 Typical High $6,456.54 | Professional | None | $6,456.54 | $6,456.54 | $6,456.54 |
Emblem Health Setting Facility Modifier None Typical Low $912.01 Median $1,479.11 Typical High $3,019.95 | Facility | None | $912.01 | $1,479.11 | $3,019.95 |
Emblem Health Setting Professional Modifier None Typical Low $933.25 Median $1,230.27 Typical High $2,454.71 | Professional | None | $933.25 | $1,230.27 | $2,454.71 |
Excellus BCBS Setting Professional Modifier None Typical Low $870.96 Median $1,348.96 Typical High $1,513.56 | Professional | None | $870.96 | $1,348.96 | $1,513.56 |
MVP Health Care Setting Facility Modifier None Typical Low $1,348.96 Median $2,398.83 Typical High $6,918.31 | Facility | None | $1,348.96 | $2,398.83 | $6,918.31 |
MVP Health Care Setting Professional Modifier None Typical Low $870.96 Median $1,000.00 Typical High $2,754.23 | Professional | None | $870.96 | $1,000.00 | $2,754.23 |
United Setting Professional Modifier None Typical Low $562.34 Median $660.69 Typical High $2,041.74 | Professional | None | $562.34 | $660.69 | $2,041.74 |
Univera Setting Facility Modifier None Typical Low $870.96 Median $1,348.96 Typical High $1,548.82 | Facility | None | $870.96 | $1,348.96 | $1,548.82 |
Univera Setting Professional Modifier None Typical Low $870.96 Median $1,348.96 Typical High $1,479.11 | Professional | None | $870.96 | $1,348.96 | $1,479.11 |
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 $363.08 Median $363.08 Typical High $562.34 | Professional | 52 · Reduced service | $363.08 | $363.08 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $144.54 Typical High $229.09 | Professional | 53 · Discontinued | $144.54 | $144.54 | $229.09 |
Where New York sits
The same service costs 102.3 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
$871
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.