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 $141.25 Median $204.17 Typical High $794.33 | Facility | None | $141.25 | $204.17 | $794.33 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $223.87 | Professional | None | $141.25 | $141.25 | $223.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $478.63 | Professional | None | $57.54 | $57.54 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $380.19 Typical High $933.25 | Facility | None | $251.19 | $380.19 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
Emblem Health Setting Facility Modifier None Typical Low $263.03 Median $426.58 Typical High $724.44 | Facility | None | $263.03 | $426.58 | $724.44 |
Emblem Health Setting Professional Modifier None Typical Low $181.97 Median $239.88 Typical High $478.63 | Professional | None | $181.97 | $239.88 | $478.63 |
Excellus BCBS Setting Professional Modifier None Typical Low $177.83 Median $263.03 Typical High $295.12 | Professional | None | $177.83 | $263.03 | $295.12 |
Highmark BCBS Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
MVP Health Care Setting Facility Modifier None Typical Low $263.03 Median $467.74 Typical High $1,348.96 | Facility | None | $263.03 | $467.74 | $1,348.96 |
MVP Health Care Setting Professional Modifier None Typical Low $169.82 Median $194.98 Typical High $537.03 | Professional | None | $169.82 | $194.98 | $537.03 |
United Setting Professional Modifier None Typical Low $109.65 Median $128.82 Typical High $398.11 | Professional | None | $109.65 | $128.82 | $398.11 |
Univera Setting Facility Modifier None Typical Low $169.82 Median $263.03 Typical High $302.00 | Facility | None | $169.82 | $263.03 | $302.00 |
Univera Setting Professional Modifier None Typical Low $169.82 Median $251.19 Typical High $288.40 | Professional | None | $169.82 | $251.19 | $288.40 |
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 $70.79 Median $70.79 Typical High $109.65 | Professional | 52 · Reduced service | $70.79 | $70.79 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $44.67 | Professional | 53 · Discontinued | $28.18 | $28.18 | $44.67 |
Where New York sits
The same service costs 5.4 times more in Alaska than in Ohio. 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
$170
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.