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 $45.71 Median $72.44 Typical High $257.04 | Facility | None | $45.71 | $72.44 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $107.15 | Professional | None | $45.71 | $45.71 | $107.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $213.80 | Facility | None | $83.18 | $83.18 | $213.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $63.10 Median $109.65 Typical High $194.98 | Professional | None | $63.10 | $109.65 | $194.98 |
CDPHP Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None | $83.18 | $83.18 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $208.93 Typical High $338.84 | Facility | None | $81.28 | $208.93 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $100.00 Typical High $398.11 | Professional | None | $50.12 | $100.00 | $398.11 |
Emblem Health Setting Facility Modifier None Typical Low $83.18 Median $117.49 Typical High $223.87 | Facility | None | $83.18 | $117.49 | $223.87 |
Emblem Health Setting Professional Modifier None Typical Low $57.54 Median $70.79 Typical High $109.65 | Professional | None | $57.54 | $70.79 | $109.65 |
Excellus BCBS Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Excellus BCBS Setting Professional Modifier None Typical Low $70.79 Median $83.18 Typical High $107.15 | Professional | None | $70.79 | $83.18 | $107.15 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $154.88 Typical High $257.04 | Facility | None | $13.80 | $154.88 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $53.70 Median $109.65 Typical High $169.82 | Professional | None | $53.70 | $109.65 | $169.82 |
United Setting Facility Modifier None Typical Low $74.13 Median $83.18 Typical High $104.71 | Facility | None | $74.13 | $83.18 | $104.71 |
United Setting Professional Modifier None Typical Low $34.67 Median $41.69 Typical High $125.89 | Professional | None | $34.67 | $41.69 | $125.89 |
Univera Setting Facility Modifier None Typical Low $53.70 Median $83.18 Typical High $87.10 | Facility | None | $53.70 | $83.18 | $87.10 |
Univera Setting Professional Modifier None Typical Low $70.79 Median $83.18 Typical High $107.15 | Professional | None | $70.79 | $83.18 | $107.15 |
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 $22.39 Median $22.39 Typical High $53.70 | Professional | 52 · Reduced service | $22.39 | $22.39 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $21.38 | Professional | 53 · Discontinued | $9.12 | $9.12 | $21.38 |
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· 25th of 51
$83.18
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.