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 $97.72 Median $147.91 Typical High $537.03 | Facility | None | $97.72 | $147.91 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $147.91 | Professional | None | $97.72 | $97.72 | $147.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $457.09 | Facility | None | $173.78 | $173.78 | $457.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $144.54 Median $245.47 Typical High $436.52 | Professional | None | $144.54 | $245.47 | $436.52 |
CDPHP Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $371.54 Typical High $501.19 | Facility | None | $169.82 | $371.54 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $213.80 Typical High $851.14 | Professional | None | $107.15 | $213.80 | $851.14 |
Emblem Health Setting Facility Modifier None Typical Low $21.88 Median $173.78 Typical High $398.11 | Facility | None | $21.88 | $173.78 | $398.11 |
Emblem Health Setting Professional Modifier None Typical Low $123.03 Median $147.91 Typical High $234.42 | Professional | None | $123.03 | $147.91 | $234.42 |
Excellus BCBS Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Excellus BCBS Setting Professional Modifier None Typical Low $138.04 Median $173.78 Typical High $223.87 | Professional | None | $138.04 | $173.78 | $223.87 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $380.19 | Facility | None | $13.80 | $257.04 | $380.19 |
MVP Health Care Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $363.08 | Professional | None | $60.26 | $60.26 | $363.08 |
United Setting Facility Modifier None Typical Low $158.49 Median $173.78 Typical High $218.78 | Facility | None | $158.49 | $173.78 | $218.78 |
United Setting Professional Modifier None Typical Low $74.13 Median $87.10 Typical High $263.03 | Professional | None | $74.13 | $87.10 | $263.03 |
Univera Setting Facility Modifier None Typical Low $112.20 Median $173.78 Typical High $208.93 | Facility | None | $112.20 | $173.78 | $208.93 |
Univera Setting Professional Modifier None Typical Low $112.20 Median $173.78 Typical High $223.87 | Professional | None | $112.20 | $173.78 | $223.87 |
3 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 $48.98 Median $48.98 Typical High $74.13 | Professional | 52 · Reduced service | $48.98 | $48.98 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $29.51 | Professional | 53 · Discontinued | $19.50 | $19.50 | $29.51 |
Highmark BCBS Setting Facility Modifier 59 · Distinct service Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | 59 · Distinct service | $316.23 | $316.23 | $316.23 |
Where New York sits
The same service costs 3.8 times more in Alaska than in Connecticut. 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· 26th of 51
$174
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.