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 $407.38 Median $602.56 Typical High $2,290.87 | Facility | None | $407.38 | $602.56 | $2,290.87 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $630.96 | Professional | None | $407.38 | $407.38 | $630.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $1,737.80 | Professional | None | $691.83 | $691.83 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $1,071.52 Typical High $2,691.53 | Facility | None | $724.44 | $1,071.52 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Professional | None | $3,548.13 | $3,548.13 | $3,548.13 |
Emblem Health Setting Facility Modifier None Typical Low $741.31 Median $1,230.27 Typical High $2,041.74 | Facility | None | $741.31 | $1,230.27 | $2,041.74 |
Emblem Health Setting Professional Modifier None Typical Low $524.81 Median $741.31 Typical High $1,348.96 | Professional | None | $524.81 | $741.31 | $1,348.96 |
Excellus BCBS Setting Professional Modifier None Typical Low $501.19 Median $741.31 Typical High $831.76 | Professional | None | $501.19 | $741.31 | $831.76 |
MVP Health Care Setting Facility Modifier None Typical Low $741.31 Median $1,348.96 Typical High $3,890.45 | Facility | None | $741.31 | $1,348.96 | $3,890.45 |
MVP Health Care Setting Professional Modifier None Typical Low $478.63 Median $562.34 Typical High $1,513.56 | Professional | None | $478.63 | $562.34 | $1,513.56 |
United Setting Professional Modifier None Typical Low $309.03 Median $363.08 Typical High $1,122.02 | Professional | None | $309.03 | $363.08 | $1,122.02 |
Univera Setting Facility Modifier None Typical Low $489.78 Median $758.58 Typical High $851.14 | Facility | None | $489.78 | $758.58 | $851.14 |
Univera Setting Professional Modifier None Typical Low $489.78 Median $707.95 Typical High $812.83 | Professional | None | $489.78 | $707.95 | $812.83 |
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 $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 $125.89 | Professional | 53 · Discontinued | $81.28 | $81.28 | $125.89 |
Where New York sits
The same service costs 58.9 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· 28th of 51
$692
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.