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 $154.88 Median $426.58 Typical High $616.60 | Facility | None | $154.88 | $426.58 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $426.58 Typical High $426.58 | Professional | None | $169.82 | $426.58 | $426.58 |
Anthem BCBS Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $524.81 | Facility | None | $199.53 | $199.53 | $524.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $144.54 Median $257.04 Typical High $457.09 | Professional | None | $144.54 | $257.04 | $457.09 |
CDPHP Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None | $199.53 | $199.53 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $501.19 Typical High $575.44 | Facility | None | $194.98 | $501.19 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $245.47 Typical High $954.99 | Professional | None | $120.23 | $245.47 | $954.99 |
Emblem Health Setting Facility Modifier None Typical Low $144.54 Median $229.09 Typical High $446.68 | Facility | None | $144.54 | $229.09 | $446.68 |
Emblem Health Setting Professional Modifier None Typical Low $141.25 Median $169.82 Typical High $288.40 | Professional | None | $141.25 | $169.82 | $288.40 |
Excellus BCBS Setting Professional Modifier None Typical Low $158.49 Median $190.55 Typical High $229.09 | Professional | None | $158.49 | $190.55 | $229.09 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $398.11 | Facility | None | $13.80 | $257.04 | $398.11 |
MVP Health Care Setting Professional Modifier None Typical Low $128.82 Median $407.38 Typical High $446.68 | Professional | None | $128.82 | $407.38 | $446.68 |
United Setting Facility Modifier None Typical Low $181.97 Median $199.53 Typical High $251.19 | Facility | None | $181.97 | $199.53 | $251.19 |
United Setting Professional Modifier None Typical Low $83.18 Median $97.72 Typical High $309.03 | Professional | None | $83.18 | $97.72 | $309.03 |
Univera Setting Facility Modifier None Typical Low $18.20 Median $128.82 Typical High $213.80 | Facility | None | $18.20 | $128.82 | $213.80 |
Univera Setting Professional Modifier None Typical Low $158.49 Median $190.55 Typical High $223.87 | Professional | None | $158.49 | $190.55 | $223.87 |
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 $85.11 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $85.11 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $33.88 | $85.11 | $85.11 |
Where New York sits
The same service costs 3.8 times more in Texas than in Oklahoma. 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· 27th of 51
$200
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.