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 $95.50 Median $147.91 Typical High $537.03 | Facility | None | $95.50 | $147.91 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $154.88 | Professional | None | $95.50 | $95.50 | $154.88 |
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 $426.58 | Professional | None | $144.54 | $245.47 | $426.58 |
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 $173.78 Median $288.40 Typical High $478.63 | Facility | None | $173.78 | $288.40 | $478.63 |
Emblem Health Setting Professional Modifier None Typical Low $107.15 Median $147.91 Typical High $234.42 | Professional | None | $107.15 | $147.91 | $234.42 |
Excellus BCBS Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Excellus BCBS Setting Professional Modifier None Typical Low $112.20 Median $165.96 Typical High $199.53 | Professional | None | $112.20 | $165.96 | $199.53 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $346.74 | Facility | None | $13.80 | $257.04 | $346.74 |
MVP Health Care Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $363.08 | Professional | None | $95.50 | $95.50 | $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 $107.15 Median $107.15 Typical High $186.21 | Facility | None | $107.15 | $107.15 | $186.21 |
Univera Setting Professional Modifier None Typical Low $107.15 Median $165.96 Typical High $194.98 | Professional | None | $107.15 | $165.96 | $194.98 |
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 $47.86 Median $47.86 Typical High $77.62 | Professional | 52 · Reduced service | $47.86 | $47.86 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $30.90 | Professional | 53 · Discontinued | $19.05 | $19.05 | $30.90 |
Where New York sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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· 35th of 51
$155
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.