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 $154.88 Median $229.09 Typical High $776.25 | Facility | None | $154.88 | $229.09 | $776.25 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $251.19 | Professional | None | $154.88 | $154.88 | $251.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $537.03 | Facility | None | $208.93 | $208.93 | $537.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $208.93 Median $323.59 Typical High $676.08 | Professional | None | $208.93 | $323.59 | $676.08 |
CDPHP Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $446.68 Typical High $602.56 | Facility | None | $204.17 | $446.68 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $281.84 Typical High $1,000.00 | Professional | None | $141.25 | $281.84 | $1,000.00 |
Emblem Health Setting Facility Modifier None Typical Low $61.66 Median $208.93 Typical High $467.74 | Facility | None | $61.66 | $208.93 | $467.74 |
Emblem Health Setting Professional Modifier None Typical Low $144.54 Median $173.78 Typical High $302.00 | Professional | None | $144.54 | $173.78 | $302.00 |
Excellus BCBS Setting Professional Modifier None Typical Low $151.36 Median $208.93 Typical High $239.88 | Professional | None | $151.36 | $208.93 | $239.88 |
Highmark BCBS Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $831.76 | Facility | None | $208.93 | $208.93 | $831.76 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $416.87 | Facility | None | $13.80 | $257.04 | $416.87 |
MVP Health Care Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $426.58 | Professional | None | $144.54 | $144.54 | $426.58 |
United Setting Facility Modifier None Typical Low $186.21 Median $208.93 Typical High $257.04 | Facility | None | $186.21 | $208.93 | $257.04 |
United Setting Professional Modifier None Typical Low $87.10 Median $120.23 Typical High $316.23 | Professional | None | $87.10 | $120.23 | $316.23 |
Univera Setting Facility Modifier None Typical Low $134.90 Median $218.78 Typical High $588.84 | Facility | None | $134.90 | $218.78 | $588.84 |
Univera Setting Professional Modifier None Typical Low $134.90 Median $194.98 Typical High $239.88 | Professional | None | $134.90 | $194.98 | $239.88 |
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 $77.62 Median $77.62 Typical High $125.89 | Professional | 52 · Reduced service | $77.62 | $77.62 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $51.29 | Professional | 53 · Discontinued | $30.90 | $30.90 | $51.29 |
Where New York sits
The same service costs 5.1 times more in California than in Delaware. 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· 31st of 51
$200
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.