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 $112.20 Median $177.83 Typical High $630.96 | Facility | None | $112.20 | $177.83 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $177.83 | Professional | None | $112.20 | $112.20 | $177.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $537.03 | Facility | None | $208.93 | $208.93 | $537.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $194.98 Median $302.00 Typical High $524.81 | Professional | None | $194.98 | $302.00 | $524.81 |
CDPHP Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $446.68 Typical High $537.03 | Facility | None | $204.17 | $446.68 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $263.03 Typical High $707.95 | Professional | None | $128.82 | $263.03 | $707.95 |
Emblem Health Setting Facility Modifier None Typical Low $173.78 Median $263.03 Typical High $467.74 | Facility | None | $173.78 | $263.03 | $467.74 |
Emblem Health Setting Professional Modifier None Typical Low $125.89 Median $173.78 Typical High $275.42 | Professional | None | $125.89 | $173.78 | $275.42 |
Excellus BCBS Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Excellus BCBS Setting Professional Modifier None Typical Low $141.25 Median $177.83 Typical High $239.88 | Professional | None | $141.25 | $177.83 | $239.88 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $416.87 | Facility | None | $13.80 | $257.04 | $416.87 |
MVP Health Care Setting Professional Modifier None Typical Low $134.90 Median $154.88 Typical High $426.58 | Professional | None | $134.90 | $154.88 | $426.58 |
United Setting Facility Modifier None Typical Low $186.21 Median $208.93 Typical High $257.04 | Facility | None | $186.21 | $208.93 | $257.04 |
United Setting Professional Modifier None Typical Low $87.10 Median $102.33 Typical High $316.23 | Professional | None | $87.10 | $102.33 | $316.23 |
Univera Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $257.04 | Facility | None | $125.89 | $125.89 | $257.04 |
Univera Setting Professional Modifier None Typical Low $134.90 Median $177.83 Typical High $229.09 | Professional | None | $134.90 | $177.83 | $229.09 |
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 $56.23 Median $56.23 Typical High $89.13 | Professional | 52 · Reduced service | $56.23 | $56.23 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $35.48 | Professional | 53 · Discontinued | $22.39 | $22.39 | $35.48 |
Where New York sits
The same service costs 4.5 times more in Texas 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· 34th of 51
$178
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.