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 $177.83 Median $229.09 Typical High $741.31 | Facility | None | $177.83 | $229.09 | $741.31 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $218.78 | Professional | None | $177.83 | $177.83 | $218.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $630.96 | Facility | None | $239.88 | $239.88 | $630.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $234.42 Median $371.54 Typical High $794.33 | Professional | None | $234.42 | $371.54 | $794.33 |
CDPHP Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None | $239.88 | $239.88 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $524.81 Typical High $691.83 | Facility | None | $234.42 | $524.81 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $407.38 Typical High $870.96 | Professional | None | $181.97 | $407.38 | $870.96 |
Emblem Health Setting Facility Modifier None Typical Low $218.78 Median $316.23 Typical High $549.54 | Facility | None | $218.78 | $316.23 | $549.54 |
Emblem Health Setting Professional Modifier None Typical Low $169.82 Median $204.17 Typical High $323.59 | Professional | None | $169.82 | $204.17 | $323.59 |
Excellus BCBS Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Excellus BCBS Setting Professional Modifier None Typical Low $199.53 Median $239.88 Typical High $275.42 | Professional | None | $199.53 | $239.88 | $275.42 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $478.63 | Facility | None | $13.80 | $257.04 | $478.63 |
MVP Health Care Setting Professional Modifier None Typical Low $194.98 Median $199.53 Typical High $501.19 | Professional | None | $194.98 | $199.53 | $501.19 |
United Setting Facility Modifier None Typical Low $218.78 Median $239.88 Typical High $302.00 | Facility | None | $218.78 | $239.88 | $302.00 |
United Setting Professional Modifier None Typical Low $102.33 Median $144.54 Typical High $371.54 | Professional | None | $102.33 | $144.54 | $371.54 |
Univera Setting Facility Modifier None Typical Low $154.88 Median $199.53 Typical High $426.58 | Facility | None | $154.88 | $199.53 | $426.58 |
Univera Setting Professional Modifier None Typical Low $199.53 Median $239.88 Typical High $275.42 | Professional | None | $199.53 | $239.88 | $275.42 |
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 $89.13 Median $89.13 Typical High $109.65 | Professional | 52 · Reduced service | $89.13 | $89.13 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $43.65 | Professional | 53 · Discontinued | $36.31 | $36.31 | $43.65 |
Where New York sits
The same service costs 4.3 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· 30th of 51
$240
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.