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 $109.65 Median $141.25 Typical High $457.09 | Facility | None | $109.65 | $141.25 | $457.09 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $125.89 | Professional | None | $109.65 | $109.65 | $125.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $389.05 | Facility | None | $147.91 | $147.91 | $389.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $74.13 Median $117.49 Typical High $407.38 | Professional | None | $74.13 | $117.49 | $407.38 |
CDPHP Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None | $147.91 | $147.91 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $323.59 Typical High $1,621.81 | Facility | None | $144.54 | $323.59 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $213.80 Typical High $977.24 | Professional | None | $102.33 | $213.80 | $977.24 |
Emblem Health Setting Facility Modifier None Typical Low $79.43 Median $173.78 Typical High $331.13 | Facility | None | $79.43 | $173.78 | $331.13 |
Emblem Health Setting Professional Modifier None Typical Low $69.18 Median $104.71 Typical High $288.40 | Professional | None | $69.18 | $104.71 | $288.40 |
Excellus BCBS Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Excellus BCBS Setting Professional Modifier None Typical Low $125.89 Median $147.91 Typical High $181.97 | Professional | None | $125.89 | $147.91 | $181.97 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $316.23 | Facility | None | $13.80 | $257.04 | $316.23 |
MVP Health Care Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $309.03 | Professional | None | $120.23 | $120.23 | $309.03 |
United Setting Facility Modifier None Typical Low $134.90 Median $147.91 Typical High $186.21 | Facility | None | $134.90 | $147.91 | $186.21 |
United Setting Professional Modifier None Typical Low $61.66 Median $89.13 Typical High $223.87 | Professional | None | $61.66 | $89.13 | $223.87 |
Univera Setting Facility Modifier None Typical Low $97.72 Median $147.91 Typical High $380.19 | Facility | None | $97.72 | $147.91 | $380.19 |
Univera Setting Professional Modifier None Typical Low $97.72 Median $147.91 Typical High $190.55 | Professional | None | $97.72 | $147.91 | $190.55 |
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 $54.95 Median $54.95 Typical High $63.10 | Professional | 52 · Reduced service | $54.95 | $54.95 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $25.12 | Professional | 53 · Discontinued | $21.88 | $21.88 | $25.12 |
Where New York sits
The same service costs 5.8 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· 24th of 51
$148
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.