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 $346.74 Median $602.56 Typical High $1,584.89 | Facility | None | $346.74 | $602.56 | $1,584.89 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $602.56 Typical High $602.56 | Professional | None | $346.74 | $602.56 | $602.56 |
Anthem BCBS Setting Professional Modifier None Typical Low $39.81 Median $48.98 Typical High $67.61 | Professional | None | $39.81 | $48.98 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Professional | None | $2,344.23 | $2,344.23 | $2,344.23 |
Excellus BCBS Setting Professional Modifier None Typical Low $295.12 Median $457.09 Typical High $758.58 | Professional | None | $295.12 | $457.09 | $758.58 |
United Setting Professional Modifier None Typical Low $446.68 Median $549.54 Typical High $1,148.15 | Professional | None | $446.68 | $549.54 | $1,148.15 |
Univera Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $512.86 | Facility | None | $295.12 | $295.12 | $512.86 |
Univera Setting Professional Modifier None Typical Low $295.12 Median $457.09 Typical High $758.58 | Professional | None | $295.12 | $457.09 | $758.58 |
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 $173.78 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $173.78 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $69.18 | $120.23 | $120.23 |
Where New York sits
The same service costs 56.2 times more in Wisconsin 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· 50th of 51
$50.12
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.