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 $309.03 Median $758.58 Typical High $2,754.23 | Facility | None | $309.03 | $758.58 | $2,754.23 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $1,096.48 | Professional | None | $309.03 | $309.03 | $1,096.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $2,344.23 | Facility | None | $891.25 | $891.25 | $2,344.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $72.44 Median $1,071.52 Typical High $1,819.70 | Professional | None | $72.44 | $1,071.52 | $1,819.70 |
CDPHP Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None | $891.25 | $891.25 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $1,905.46 Typical High $2,570.40 | Facility | None | $870.96 | $1,905.46 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $1,096.48 Typical High $4,365.16 | Professional | None | $549.54 | $1,096.48 | $4,365.16 |
Emblem Health Setting Facility Modifier None Typical Low $346.74 Median $891.25 Typical High $2,041.74 | Facility | None | $346.74 | $891.25 | $2,041.74 |
Emblem Health Setting Professional Modifier None Typical Low $630.96 Median $758.58 Typical High $1,318.26 | Professional | None | $630.96 | $758.58 | $1,318.26 |
Excellus BCBS Setting Professional Modifier None Typical Low $724.44 Median $851.14 Typical High $1,023.29 | Professional | None | $724.44 | $851.14 | $1,023.29 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $1,819.70 | Facility | None | $13.80 | $257.04 | $1,819.70 |
MVP Health Care Setting Professional Modifier None Typical Low $588.84 Median $645.65 Typical High $1,862.09 | Professional | None | $588.84 | $645.65 | $1,862.09 |
United Setting Facility Modifier None Typical Low $812.83 Median $891.25 Typical High $1,122.02 | Facility | None | $812.83 | $891.25 | $1,122.02 |
United Setting Professional Modifier None Typical Low $380.19 Median $436.52 Typical High $1,380.38 | Professional | None | $380.19 | $436.52 | $1,380.38 |
Univera Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $954.99 | Facility | None | $575.44 | $575.44 | $954.99 |
Univera Setting Professional Modifier None Typical Low $724.44 Median $851.14 Typical High $1,000.00 | Professional | None | $724.44 | $851.14 | $1,000.00 |
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 $151.36 Median $151.36 Typical High $380.19 | Professional | 52 · Reduced service | $151.36 | $151.36 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $151.36 | Professional | 53 · Discontinued | $61.66 | $61.66 | $151.36 |
Where New York sits
The same service costs 5.1 times more in Texas than in Oklahoma. 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
$724
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.