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 $75.86 Median $223.87 Typical High $870.96 | Facility | None | $75.86 | $223.87 | $870.96 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $239.88 | Professional | None | $75.86 | $75.86 | $239.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $741.31 | Facility | None | $281.84 | $281.84 | $741.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $81.28 Median $138.04 Typical High $524.81 | Professional | None | $81.28 | $138.04 | $524.81 |
CDPHP Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None | $281.84 | $281.84 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $602.56 Typical High $1,096.48 | Facility | None | $257.04 | $602.56 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $208.93 Typical High $1,380.38 | Professional | None | $69.18 | $208.93 | $1,380.38 |
Emblem Health Setting Facility Modifier None Typical Low $31.62 Median $281.84 Typical High $645.65 | Facility | None | $31.62 | $281.84 | $645.65 |
Emblem Health Setting Professional Modifier None Typical Low $114.82 Median $169.82 Typical High $549.54 | Professional | None | $114.82 | $169.82 | $549.54 |
Excellus BCBS Setting Professional Modifier None Typical Low $16.98 Median $239.88 Typical High $316.23 | Professional | None | $16.98 | $239.88 | $316.23 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $575.44 | Facility | None | $13.80 | $257.04 | $575.44 |
MVP Health Care Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $588.84 | Professional | None | $141.25 | $141.25 | $588.84 |
United Setting Facility Modifier None Typical Low $257.04 Median $281.84 Typical High $354.81 | Facility | None | $257.04 | $281.84 | $354.81 |
United Setting Professional Modifier None Typical Low $81.28 Median $128.82 Typical High $416.87 | Professional | None | $81.28 | $128.82 | $416.87 |
Univera Setting Facility Modifier None Typical Low $186.21 Median $257.04 Typical High $389.05 | Facility | None | $186.21 | $257.04 | $389.05 |
Univera Setting Professional Modifier None Typical Low $89.13 Median $239.88 Typical High $323.59 | Professional | None | $89.13 | $239.88 | $323.59 |
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 $37.15 Median $37.15 Typical High $120.23 | Professional | 52 · Reduced service | $37.15 | $37.15 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $48.98 | Professional | 53 · Discontinued | $15.14 | $15.14 | $48.98 |
Where New York sits
The same service costs 11.2 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· 37th of 51
$186
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.