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 $60.26 Median $75.86 Typical High $245.47 | Facility | None | $60.26 | $75.86 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $67.61 | Professional | None | $60.26 | $60.26 | $67.61 |
Anthem BCBS Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $208.93 | Facility | None | $81.28 | $81.28 | $208.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.18 Median $64.57 Typical High $218.78 | Professional | None | $13.18 | $64.57 | $218.78 |
CDPHP Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $169.82 Typical High $776.25 | Facility | None | $72.44 | $169.82 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $114.82 Typical High $537.03 | Professional | None | $47.86 | $114.82 | $537.03 |
Emblem Health Setting Facility Modifier None Typical Low $50.12 Median $81.28 Typical High $181.97 | Facility | None | $50.12 | $81.28 | $181.97 |
Emblem Health Setting Professional Modifier None Typical Low $38.02 Median $56.23 Typical High $154.88 | Professional | None | $38.02 | $56.23 | $154.88 |
Excellus BCBS Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Excellus BCBS Setting Professional Modifier None Typical Low $67.61 Median $81.28 Typical High $104.71 | Professional | None | $67.61 | $81.28 | $104.71 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $144.54 Typical High $257.04 | Facility | None | $13.80 | $144.54 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $239.88 | Professional | None | $21.38 | $21.38 | $239.88 |
United Setting Facility Modifier None Typical Low $72.44 Median $81.28 Typical High $100.00 | Facility | None | $72.44 | $81.28 | $100.00 |
United Setting Professional Modifier None Typical Low $33.88 Median $47.86 Typical High $120.23 | Professional | None | $33.88 | $47.86 | $120.23 |
Univera Setting Facility Modifier None Typical Low $52.48 Median $81.28 Typical High $204.17 | Facility | None | $52.48 | $81.28 | $204.17 |
Univera Setting Professional Modifier None Typical Low $52.48 Median $81.28 Typical High $104.71 | Professional | None | $52.48 | $81.28 | $104.71 |
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 $29.51 Median $29.51 Typical High $33.88 | Professional | 52 · Reduced service | $29.51 | $29.51 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $13.80 | Professional | 53 · Discontinued | $12.02 | $12.02 | $13.80 |
Where New York sits
The same service costs 4.6 times more in Kansas 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· 27th of 51
$77.62
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.