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 $64.57 Median $83.18 Typical High $269.15 | Facility | None | $64.57 | $83.18 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $74.13 | Professional | None | $64.57 | $64.57 | $74.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $223.87 | Facility | None | $87.10 | $87.10 | $223.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $42.66 Median $69.18 Typical High $239.88 | Professional | None | $42.66 | $69.18 | $239.88 |
CDPHP Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None | $87.10 | $87.10 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $190.55 Typical High $933.25 | Facility | None | $85.11 | $190.55 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $125.89 Typical High $575.44 | Professional | None | $60.26 | $125.89 | $575.44 |
Emblem Health Setting Facility Modifier None Typical Low $43.65 Median $87.10 Typical High $194.98 | Facility | None | $43.65 | $87.10 | $194.98 |
Emblem Health Setting Professional Modifier None Typical Low $40.74 Median $60.26 Typical High $169.82 | Professional | None | $40.74 | $60.26 | $169.82 |
Excellus BCBS Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Excellus BCBS Setting Professional Modifier None Typical Low $57.54 Median $87.10 Typical High $112.20 | Professional | None | $57.54 | $87.10 | $112.20 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $154.88 Typical High $257.04 | Facility | None | $13.80 | $154.88 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $177.83 | Professional | None | $69.18 | $69.18 | $177.83 |
United Setting Facility Modifier None Typical Low $77.62 Median $87.10 Typical High $109.65 | Facility | None | $77.62 | $87.10 | $109.65 |
United Setting Professional Modifier None Typical Low $36.31 Median $52.48 Typical High $131.83 | Professional | None | $36.31 | $52.48 | $131.83 |
Univera Setting Facility Modifier None Typical Low $57.54 Median $87.10 Typical High $218.78 | Facility | None | $57.54 | $87.10 | $218.78 |
Univera Setting Professional Modifier None Typical Low $57.54 Median $87.10 Typical High $112.20 | Professional | None | $57.54 | $87.10 | $112.20 |
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 $32.36 Median $32.36 Typical High $37.15 | Professional | 52 · Reduced service | $32.36 | $32.36 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $14.79 | Professional | 53 · Discontinued | $12.88 | $12.88 | $14.79 |
Where New York sits
The same service costs 4.1 times more in Alaska 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· 28th of 51
$83.18
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.