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 $245.47 Median $630.96 Typical High $2,454.71 | Facility | None | $245.47 | $630.96 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $676.08 | Professional | None | $245.47 | $245.47 | $676.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $2,089.30 | Facility | None | $794.33 | $794.33 | $2,089.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $263.03 Median $446.68 Typical High $1,479.11 | Professional | None | $263.03 | $446.68 | $1,479.11 |
CDPHP Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $1,698.24 Typical High $3,548.13 | Facility | None | $724.44 | $1,698.24 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $588.84 Typical High $3,890.45 | Professional | None | $194.98 | $588.84 | $3,890.45 |
Emblem Health Setting Facility Modifier None Typical Low $162.18 Median $794.33 Typical High $1,819.70 | Facility | None | $162.18 | $794.33 | $1,819.70 |
Emblem Health Setting Professional Modifier None Typical Low $371.54 Median $478.63 Typical High $1,548.82 | Professional | None | $371.54 | $478.63 | $1,548.82 |
Excellus BCBS Setting Professional Modifier None Typical Low $346.74 Median $758.58 Typical High $891.25 | Professional | None | $346.74 | $758.58 | $891.25 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $407.38 Typical High $1,621.81 | Facility | None | $13.80 | $407.38 | $1,621.81 |
MVP Health Care Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $1,659.59 | Professional | None | $416.87 | $416.87 | $1,659.59 |
United Setting Facility Modifier None Typical Low $724.44 Median $794.33 Typical High $1,000.00 | Facility | None | $724.44 | $794.33 | $1,000.00 |
United Setting Professional Modifier None Typical Low $251.19 Median $363.08 Typical High $1,174.90 | Professional | None | $251.19 | $363.08 | $1,174.90 |
Univera Setting Facility Modifier None Typical Low $524.81 Median $831.76 Typical High $1,288.25 | Facility | None | $524.81 | $831.76 | $1,288.25 |
Univera Setting Professional Modifier None Typical Low $346.74 Median $707.95 Typical High $891.25 | Professional | None | $346.74 | $707.95 | $891.25 |
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 $123.03 Median $123.03 Typical High $338.84 | Professional | 52 · Reduced service | $123.03 | $123.03 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $134.90 | Professional | 53 · Discontinued | $48.98 | $48.98 | $134.90 |
Where New York sits
The same service costs 11.0 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· 39th of 51
$525
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.