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 $112.20 Median $3,801.89 Typical High $8,128.31 | Facility | None | $112.20 | $3,801.89 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $117.49 Typical High $218.78 | Professional | None | $81.28 | $117.49 | $218.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $933.25 Median $3,162.28 Typical High $4,897.79 | Facility | None | $933.25 | $3,162.28 | $4,897.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $112.20 Median $131.83 Typical High $229.09 | Professional | None | $112.20 | $131.83 | $229.09 |
CDPHP Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $8,912.51 | Facility | None | $2,951.21 | $2,951.21 | $8,912.51 |
CDPHP Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $165.96 | Professional | None | $109.65 | $109.65 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $134.90 Typical High $245.47 | Facility | None | $85.11 | $134.90 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $141.25 Typical High $446.68 | Professional | None | $97.72 | $141.25 | $446.68 |
Emblem Health Setting Facility Modifier None Typical Low $79.43 Median $95.50 Typical High $302.00 | Facility | None | $79.43 | $95.50 | $302.00 |
Emblem Health Setting Professional Modifier None Typical Low $134.90 Median $154.88 Typical High $275.42 | Professional | None | $134.90 | $154.88 | $275.42 |
Excellus BCBS Setting Professional Modifier None Typical Low $81.28 Median $112.20 Typical High $151.36 | Professional | None | $81.28 | $112.20 | $151.36 |
Highmark BCBS Setting Facility Modifier None Typical Low $501.19 Median $1,148.15 Typical High $1,905.46 | Facility | None | $501.19 | $1,148.15 | $1,905.46 |
MVP Health Care Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
MVP Health Care Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $309.03 | Professional | None | $199.53 | $199.53 | $309.03 |
United Setting Facility Modifier None Typical Low $549.54 Median $1,862.09 Typical High $4,897.79 | Facility | None | $549.54 | $1,862.09 | $4,897.79 |
United Setting Professional Modifier None Typical Low $70.79 Median $123.03 Typical High $281.84 | Professional | None | $70.79 | $123.03 | $281.84 |
Univera Setting Facility Modifier None Typical Low $67.61 Median $109.65 Typical High $302.00 | Facility | None | $67.61 | $109.65 | $302.00 |
Univera Setting Professional Modifier None Typical Low $81.28 Median $109.65 Typical High $141.25 | Professional | None | $81.28 | $109.65 | $141.25 |
3 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 $41.69 Median $56.23 Typical High $74.13 | Professional | 52 · Reduced service | $41.69 | $56.23 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $22.39 Typical High $30.20 | Professional | 53 · Discontinued | $16.60 | $22.39 | $30.20 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $83.18 Typical High $117.49 | Professional | 53 · Discontinued | $60.26 | $83.18 | $117.49 |
Where New York sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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· 29th of 51
$132
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.