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 $245.47 Median $380.19 Typical High $1,380.38 | Facility | None | $245.47 | $380.19 | $1,380.38 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $380.19 | Professional | None | $245.47 | $245.47 | $380.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $1,174.90 | Facility | None | $446.68 | $446.68 | $1,174.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $371.54 Median $630.96 Typical High $1,122.02 | Professional | None | $371.54 | $630.96 | $1,122.02 |
CDPHP Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $954.99 Typical High $1,288.25 | Facility | None | $436.52 | $954.99 | $1,288.25 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $549.54 Typical High $2,187.76 | Professional | None | $275.42 | $549.54 | $2,187.76 |
Emblem Health Setting Facility Modifier None Typical Low $446.68 Median $741.31 Typical High $1,230.27 | Facility | None | $446.68 | $741.31 | $1,230.27 |
Emblem Health Setting Professional Modifier None Typical Low $316.23 Median $380.19 Typical High $660.69 | Professional | None | $316.23 | $380.19 | $660.69 |
Excellus BCBS Setting Professional Modifier None Typical Low $363.08 Median $426.58 Typical High $512.86 | Professional | None | $363.08 | $426.58 | $512.86 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $912.01 | Facility | None | $13.80 | $257.04 | $912.01 |
MVP Health Care Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $933.25 | Professional | None | $144.54 | $144.54 | $933.25 |
United Setting Facility Modifier None Typical Low $407.38 Median $446.68 Typical High $562.34 | Facility | None | $407.38 | $446.68 | $562.34 |
United Setting Professional Modifier None Typical Low $190.55 Median $223.87 Typical High $676.08 | Professional | None | $190.55 | $223.87 | $676.08 |
Univera Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $478.63 | Facility | None | $288.40 | $288.40 | $478.63 |
Univera Setting Professional Modifier None Typical Low $363.08 Median $426.58 Typical High $501.19 | Professional | None | $363.08 | $426.58 | $501.19 |
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 $123.03 Median $123.03 Typical High $190.55 | Professional | 52 · Reduced service | $123.03 | $123.03 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $75.86 | Professional | 53 · Discontinued | $48.98 | $48.98 | $75.86 |
Where New York sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 28th of 51
$427
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.