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 $91.20 Median $141.25 Typical High $416.87 | Facility | None | $91.20 | $141.25 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $141.25 | Professional | None | $91.20 | $91.20 | $141.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $426.58 | Facility | None | $165.96 | $165.96 | $426.58 |
Anthem BCBS Setting Professional Modifier None Typical Low $138.04 Median $229.09 Typical High $407.38 | Professional | None | $138.04 | $229.09 | $407.38 |
CDPHP Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $354.81 Typical High $478.63 | Facility | None | $162.18 | $354.81 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $199.53 Typical High $794.33 | Professional | None | $100.00 | $199.53 | $794.33 |
Emblem Health Setting Facility Modifier None Typical Low $45.71 Median $165.96 Typical High $371.54 | Facility | None | $45.71 | $165.96 | $371.54 |
Emblem Health Setting Professional Modifier None Typical Low $114.82 Median $141.25 Typical High $218.78 | Professional | None | $114.82 | $141.25 | $218.78 |
Excellus BCBS Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Excellus BCBS Setting Professional Modifier None Typical Low $128.82 Median $165.96 Typical High $213.80 | Professional | None | $128.82 | $165.96 | $213.80 |
Highmark BCBS Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $354.81 | Facility | None | $13.80 | $257.04 | $354.81 |
MVP Health Care Setting Professional Modifier None Typical Low $107.15 Median $109.65 Typical High $338.84 | Professional | None | $107.15 | $109.65 | $338.84 |
United Setting Facility Modifier None Typical Low $147.91 Median $165.96 Typical High $208.93 | Facility | None | $147.91 | $165.96 | $208.93 |
United Setting Professional Modifier None Typical Low $69.18 Median $100.00 Typical High $251.19 | Professional | None | $69.18 | $100.00 | $251.19 |
Univera Setting Facility Modifier None Typical Low $107.15 Median $165.96 Typical High $199.53 | Facility | None | $107.15 | $165.96 | $199.53 |
Univera Setting Professional Modifier None Typical Low $120.23 Median $165.96 Typical High $213.80 | Professional | None | $120.23 | $165.96 | $213.80 |
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 $44.67 Median $44.67 Typical High $70.79 | Professional | 52 · Reduced service | $44.67 | $44.67 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $28.18 | Professional | 53 · Discontinued | $18.20 | $18.20 | $28.18 |
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· 25th of 51
$166
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.