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 $34.67 Median $34.67 Typical High $36.31 | Facility | None | $34.67 | $34.67 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $36.31 Typical High $36.31 | Professional | None | $34.67 | $36.31 | $36.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.88 Median $25.70 Typical High $28.84 | Professional | None | $21.88 | $25.70 | $28.84 |
CDPHP Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,380.38 | $1,380.38 | $1,380.38 |
Excellus BCBS Setting Professional Modifier None Typical Low $190.55 Median $407.38 Typical High $562.34 | Professional | None | $190.55 | $407.38 | $562.34 |
United Setting Facility Modifier None Typical Low $75.86 Median $87.10 Typical High $107.15 | Facility | None | $75.86 | $87.10 | $107.15 |
United Setting Professional Modifier None Typical Low $47.86 Median $69.18 Typical High $229.09 | Professional | None | $47.86 | $69.18 | $229.09 |
Univera Setting Facility Modifier None Typical Low $61.66 Median $407.38 Typical High $407.38 | Facility | None | $61.66 | $407.38 | $407.38 |
Univera Setting Professional Modifier None Typical Low $190.55 Median $407.38 Typical High $537.03 | Professional | None | $190.55 | $407.38 | $537.03 |
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 $17.38 Median $18.20 Typical High $18.20 | Professional | 52 · Reduced service | $17.38 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $7.24 Typical High $7.24 | Professional | 53 · Discontinued | $6.92 | $7.24 | $7.24 |
Where New York sits
The same service costs 31.6 times more in Montana than in New York. 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· 51st of 51
$28.84
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.