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 $107.15 Median $165.96 Typical High $588.84 | Facility | None | $107.15 | $165.96 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $165.96 | Professional | None | $107.15 | $107.15 | $165.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $501.19 | Facility | None | $194.98 | $194.98 | $501.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $169.82 Median $269.15 Typical High $489.78 | Professional | None | $169.82 | $269.15 | $489.78 |
CDPHP Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None | $194.98 | $194.98 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $416.87 Typical High $549.54 | Facility | None | $190.55 | $416.87 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $234.42 Typical High $933.25 | Professional | None | $117.49 | $234.42 | $933.25 |
Emblem Health Setting Facility Modifier None Typical Low $85.11 Median $194.98 Typical High $436.52 | Facility | None | $85.11 | $194.98 | $436.52 |
Emblem Health Setting Professional Modifier None Typical Low $134.90 Median $162.18 Typical High $257.04 | Professional | None | $134.90 | $162.18 | $257.04 |
Excellus BCBS Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Excellus BCBS Setting Professional Modifier None Typical Low $165.96 Median $194.98 Typical High $251.19 | Professional | None | $165.96 | $194.98 | $251.19 |
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 $125.89 Median $204.17 Typical High $398.11 | Professional | None | $125.89 | $204.17 | $398.11 |
United Setting Facility Modifier None Typical Low $173.78 Median $194.98 Typical High $239.88 | Facility | None | $173.78 | $194.98 | $239.88 |
United Setting Professional Modifier None Typical Low $81.28 Median $97.72 Typical High $295.12 | Professional | None | $81.28 | $97.72 | $295.12 |
Univera Setting Facility Modifier None Typical Low $125.89 Median $194.98 Typical High $295.12 | Facility | None | $125.89 | $194.98 | $295.12 |
Univera Setting Professional Modifier None Typical Low $165.96 Median $194.98 Typical High $251.19 | Professional | None | $165.96 | $194.98 | $251.19 |
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 $53.70 Median $53.70 Typical High $81.28 | Professional | 52 · Reduced service | $53.70 | $53.70 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $33.11 | Professional | 53 · Discontinued | $21.38 | $21.38 | $33.11 |
Where New York sits
The same service costs 3.4 times more in Alaska 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· 24th of 51
$195
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.