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 $67.61 Median $107.15 Typical High $316.23 | Facility | None | $67.61 | $107.15 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $107.15 | Professional | None | $67.61 | $67.61 | $107.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $323.59 | Facility | None | $125.89 | $125.89 | $323.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $117.49 Median $177.83 Typical High $316.23 | Professional | None | $117.49 | $177.83 | $316.23 |
CDPHP Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $309.03 Typical High $891.25 | Facility | None | $123.03 | $309.03 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $154.88 Typical High $416.87 | Professional | None | $75.86 | $154.88 | $416.87 |
Emblem Health Setting Facility Modifier None Typical Low $81.28 Median $131.83 Typical High $281.84 | Facility | None | $81.28 | $131.83 | $281.84 |
Emblem Health Setting Professional Modifier None Typical Low $87.10 Median $104.71 Typical High $181.97 | Professional | None | $87.10 | $104.71 | $181.97 |
Excellus BCBS Setting Professional Modifier None Typical Low $81.28 Median $125.89 Typical High $234.42 | Professional | None | $81.28 | $125.89 | $234.42 |
Highmark BCBS Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $416.87 | Facility | None | $239.88 | $239.88 | $416.87 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $223.87 Typical High $257.04 | Facility | None | $13.80 | $223.87 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $81.28 Median $93.33 Typical High $257.04 | Professional | None | $81.28 | $93.33 | $257.04 |
United Setting Facility Modifier None Typical Low $112.20 Median $125.89 Typical High $154.88 | Facility | None | $112.20 | $125.89 | $154.88 |
United Setting Professional Modifier None Typical Low $52.48 Median $61.66 Typical High $190.55 | Professional | None | $52.48 | $61.66 | $190.55 |
Univera Setting Facility Modifier None Typical Low $81.28 Median $131.83 Typical High $190.55 | Facility | None | $81.28 | $131.83 | $190.55 |
Univera Setting Professional Modifier None Typical Low $81.28 Median $125.89 Typical High $144.54 | Professional | None | $81.28 | $125.89 | $144.54 |
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 $33.88 Median $33.88 Typical High $52.48 | Professional | 52 · Reduced service | $33.88 | $33.88 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.49 Typical High $21.38 | Professional | 53 · Discontinued | $13.49 | $13.49 | $21.38 |
Where New York sits
The same service costs 4.5 times more in Alaska than in Alabama. 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
$120
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.