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 $45.71 Median $69.18 Typical High $69.18 | Facility | None | $45.71 | $69.18 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $69.18 Typical High $69.18 | Professional | None | $45.71 | $69.18 | $69.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $56.23 Median $66.07 Typical High $74.13 | Professional | None | $56.23 | $66.07 | $74.13 |
CDPHP Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $10,964.78 | Facility | None | $3,630.78 | $3,630.78 | $10,964.78 |
CDPHP Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None | $83.18 | $83.18 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $398.11 Typical High $398.11 | Professional | None | $77.62 | $398.11 | $398.11 |
Excellus BCBS Setting Professional Modifier None Typical Low $72.44 Median $85.11 Typical High $128.82 | Professional | None | $72.44 | $85.11 | $128.82 |
United Setting Facility Modifier None Typical Low $512.86 Median $1,698.24 Typical High $6,165.95 | Facility | None | $512.86 | $1,698.24 | $6,165.95 |
United Setting Professional Modifier None Typical Low $52.48 Median $72.44 Typical High $147.91 | Professional | None | $52.48 | $72.44 | $147.91 |
Univera Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Univera Setting Professional Modifier None Typical Low $43.65 Median $85.11 Typical High $128.82 | Professional | None | $43.65 | $85.11 | $128.82 |
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 $22.91 Median $34.67 Typical High $34.67 | Professional | 52 · Reduced service | $22.91 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $13.80 Typical High $13.80 | Professional | 53 · Discontinued | $9.12 | $13.80 | $13.80 |
Where New York sits
The same service costs 11.2 times more in Texas than in Arkansas. 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
$69.18
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.