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 $257.04 Median $398.11 Typical High $1,445.44 | Facility | None | $257.04 | $398.11 | $1,445.44 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $398.11 | Professional | None | $257.04 | $257.04 | $398.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $1,230.27 | Facility | None | $467.74 | $467.74 | $1,230.27 |
Anthem BCBS Setting Professional Modifier None Typical Low $467.74 Median $691.83 Typical High $1,174.90 | Professional | None | $467.74 | $691.83 | $1,174.90 |
CDPHP Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $1,000.00 Typical High $1,202.26 | Facility | None | $457.09 | $1,000.00 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $575.44 Typical High $1,548.82 | Professional | None | $281.84 | $575.44 | $1,548.82 |
Emblem Health Setting Facility Modifier None Typical Low $363.08 Median $562.34 Typical High $1,047.13 | Facility | None | $363.08 | $562.34 | $1,047.13 |
Emblem Health Setting Professional Modifier None Typical Low $331.13 Median $398.11 Typical High $676.08 | Professional | None | $331.13 | $398.11 | $676.08 |
Excellus BCBS Setting Professional Modifier None Typical Low $371.54 Median $446.68 Typical High $537.03 | Professional | None | $371.54 | $446.68 | $537.03 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $933.25 | Facility | None | $13.80 | $257.04 | $933.25 |
MVP Health Care Setting Professional Modifier None Typical Low $302.00 Median $354.81 Typical High $954.99 | Professional | None | $302.00 | $354.81 | $954.99 |
United Setting Facility Modifier None Typical Low $416.87 Median $467.74 Typical High $588.84 | Facility | None | $416.87 | $467.74 | $588.84 |
United Setting Professional Modifier None Typical Low $194.98 Median $229.09 Typical High $707.95 | Professional | None | $194.98 | $229.09 | $707.95 |
Univera Setting Facility Modifier None Typical Low $302.00 Median $501.19 Typical High $630.96 | Facility | None | $302.00 | $501.19 | $630.96 |
Univera Setting Professional Modifier None Typical Low $371.54 Median $446.68 Typical High $537.03 | Professional | None | $371.54 | $446.68 | $537.03 |
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 $128.82 Median $128.82 Typical High $199.53 | Professional | 52 · Reduced service | $128.82 | $128.82 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $79.43 | Professional | 53 · Discontinued | $51.29 | $51.29 | $79.43 |
Where New York sits
The same service costs 3.7 times more in Alaska than in Delaware. 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· 31st of 51
$447
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.