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 $74.13 Median $117.49 Typical High $416.87 | Facility | None | $74.13 | $117.49 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $117.49 | Professional | None | $74.13 | $74.13 | $117.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $354.81 | Facility | None | $138.04 | $138.04 | $354.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $131.83 Median $204.17 Typical High $346.74 | Professional | None | $131.83 | $204.17 | $346.74 |
CDPHP Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None | $138.04 | $138.04 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $295.12 Typical High $354.81 | Facility | None | $134.90 | $295.12 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $169.82 Typical High $446.68 | Professional | None | $83.18 | $169.82 | $446.68 |
Emblem Health Setting Facility Modifier None Typical Low $107.15 Median $165.96 Typical High $309.03 | Facility | None | $107.15 | $165.96 | $309.03 |
Emblem Health Setting Professional Modifier None Typical Low $83.18 Median $114.82 Typical High $181.97 | Professional | None | $83.18 | $114.82 | $181.97 |
Excellus BCBS Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Excellus BCBS Setting Professional Modifier None Typical Low $89.13 Median $128.82 Typical High $158.49 | Professional | None | $89.13 | $128.82 | $158.49 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $245.47 Typical High $275.42 | Facility | None | $13.80 | $245.47 | $275.42 |
MVP Health Care Setting Professional Modifier None Typical Low $89.13 Median $102.33 Typical High $281.84 | Professional | None | $89.13 | $102.33 | $281.84 |
United Setting Facility Modifier None Typical Low $123.03 Median $138.04 Typical High $169.82 | Facility | None | $123.03 | $138.04 | $169.82 |
United Setting Professional Modifier None Typical Low $57.54 Median $67.61 Typical High $208.93 | Professional | None | $57.54 | $67.61 | $208.93 |
Univera Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $158.49 | Facility | None | $83.18 | $83.18 | $158.49 |
Univera Setting Professional Modifier None Typical Low $83.18 Median $128.82 Typical High $158.49 | Professional | None | $83.18 | $128.82 | $158.49 |
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 $58.88 | Professional | 52 · Reduced service | $37.15 | $37.15 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $23.44 | Professional | 53 · Discontinued | $14.79 | $14.79 | $23.44 |
Where New York sits
The same service costs 4.9 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· 31st of 51
$129
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.