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 $58.88 Median $109.65 Typical High $398.11 | Facility | None | $58.88 | $109.65 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $109.65 | Professional | None | $58.88 | $58.88 | $109.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $338.84 | Facility | None | $128.82 | $128.82 | $338.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $51.29 Median $79.43 Typical High $263.03 | Professional | None | $51.29 | $79.43 | $263.03 |
CDPHP Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None | $128.82 | $128.82 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $275.42 Typical High $851.14 | Facility | None | $125.89 | $275.42 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $147.91 Typical High $616.60 | Professional | None | $56.23 | $147.91 | $616.60 |
Emblem Health Setting Facility Modifier None Typical Low $33.88 Median $128.82 Typical High $288.40 | Facility | None | $33.88 | $128.82 | $288.40 |
Emblem Health Setting Professional Modifier None Typical Low $60.26 Median $77.62 Typical High $251.19 | Professional | None | $60.26 | $77.62 | $251.19 |
Excellus BCBS Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Excellus BCBS Setting Professional Modifier None Typical Low $77.62 Median $100.00 Typical High $141.25 | Professional | None | $77.62 | $100.00 | $141.25 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $169.82 Typical High $257.04 | Facility | None | $13.80 | $169.82 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $269.15 | Professional | None | $83.18 | $83.18 | $269.15 |
United Setting Facility Modifier None Typical Low $117.49 Median $128.82 Typical High $162.18 | Facility | None | $117.49 | $128.82 | $162.18 |
United Setting Professional Modifier None Typical Low $53.70 Median $61.66 Typical High $190.55 | Professional | None | $53.70 | $61.66 | $190.55 |
Univera Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $199.53 | Facility | None | $77.62 | $77.62 | $199.53 |
Univera Setting Professional Modifier None Typical Low $77.62 Median $100.00 Typical High $144.54 | Professional | None | $77.62 | $100.00 | $144.54 |
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 $28.84 Median $28.84 Typical High $54.95 | Professional | 52 · Reduced service | $28.84 | $28.84 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $11.75 Typical High $21.88 | Professional | 53 · Discontinued | $11.75 | $11.75 | $21.88 |
Where New York sits
The same service costs 6.0 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· 45th of 51
$89.13
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.