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 $81.28 Median $125.89 Typical High $288.40 | Facility | None | $81.28 | $125.89 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $125.89 Typical High $138.04 | Professional | None | $81.28 | $125.89 | $138.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $245.47 | Facility | None | $95.50 | $95.50 | $245.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $67.61 Median $120.23 Typical High $213.80 | Professional | None | $67.61 | $120.23 | $213.80 |
CDPHP Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None | $95.50 | $95.50 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $229.09 Typical High $275.42 | Facility | None | $93.33 | $229.09 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $114.82 Typical High $457.09 | Professional | None | $57.54 | $114.82 | $457.09 |
Emblem Health Setting Facility Modifier None Typical Low $95.50 Median $181.97 Typical High $295.12 | Facility | None | $95.50 | $181.97 | $295.12 |
Emblem Health Setting Professional Modifier None Typical Low $66.07 Median $81.28 Typical High $138.04 | Professional | None | $66.07 | $81.28 | $138.04 |
Excellus BCBS Setting Professional Modifier None Typical Low $75.86 Median $91.20 Typical High $109.65 | Professional | None | $75.86 | $91.20 | $109.65 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $169.82 Typical High $257.04 | Facility | None | $13.80 | $169.82 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $194.98 | Professional | None | $60.26 | $60.26 | $194.98 |
United Setting Facility Modifier None Typical Low $85.11 Median $95.50 Typical High $117.49 | Facility | None | $85.11 | $95.50 | $117.49 |
United Setting Professional Modifier None Typical Low $39.81 Median $46.77 Typical High $144.54 | Professional | None | $39.81 | $46.77 | $144.54 |
Univera Setting Facility Modifier None Typical Low $52.48 Median $61.66 Typical High $100.00 | Facility | None | $52.48 | $61.66 | $100.00 |
Univera Setting Professional Modifier None Typical Low $75.86 Median $91.20 Typical High $107.15 | Professional | None | $75.86 | $91.20 | $107.15 |
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 $40.74 Median $63.10 Typical High $69.18 | Professional | 52 · Reduced service | $40.74 | $63.10 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $25.12 Typical High $27.54 | Professional | 53 · Discontinued | $16.22 | $25.12 | $27.54 |
Where New York sits
The same service costs 3.7 times more in Alaska than in New Mexico. 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
$93.33
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.