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 $151.36 Median $234.42 Typical High $851.14 | Facility | None | $151.36 | $234.42 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $234.42 | Professional | None | $151.36 | $151.36 | $234.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $707.95 | Facility | None | $275.42 | $275.42 | $707.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $269.15 Median $407.38 Typical High $691.83 | Professional | None | $269.15 | $407.38 | $691.83 |
CDPHP Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None | $275.42 | $275.42 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $588.84 Typical High $707.95 | Facility | None | $269.15 | $588.84 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $338.84 Typical High $912.01 | Professional | None | $165.96 | $338.84 | $912.01 |
Emblem Health Setting Facility Modifier None Typical Low $213.80 Median $331.13 Typical High $616.60 | Facility | None | $213.80 | $331.13 | $616.60 |
Emblem Health Setting Professional Modifier None Typical Low $165.96 Median $234.42 Typical High $363.08 | Professional | None | $165.96 | $234.42 | $363.08 |
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 $177.83 Median $263.03 Typical High $316.23 | Professional | None | $177.83 | $263.03 | $316.23 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $275.42 Typical High $549.54 | Facility | None | $13.80 | $275.42 | $549.54 |
MVP Health Care Setting Professional Modifier None Typical Low $177.83 Median $204.17 Typical High $562.34 | Professional | None | $177.83 | $204.17 | $562.34 |
United Setting Facility Modifier None Typical Low $245.47 Median $275.42 Typical High $346.74 | Facility | None | $245.47 | $275.42 | $346.74 |
United Setting Professional Modifier None Typical Low $114.82 Median $134.90 Typical High $416.87 | Professional | None | $114.82 | $134.90 | $416.87 |
Univera Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $316.23 | Facility | None | $165.96 | $165.96 | $316.23 |
Univera Setting Professional Modifier None Typical Low $173.78 Median $263.03 Typical High $316.23 | Professional | None | $173.78 | $263.03 | $316.23 |
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 $74.13 Median $74.13 Typical High $117.49 | Professional | 52 · Reduced service | $74.13 | $74.13 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $46.77 | Professional | 53 · Discontinued | $30.20 | $30.20 | $46.77 |
Where New York sits
The same service costs 5.0 times more in Texas 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· 29th of 51
$263
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.