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 $141.25 Median $281.84 Typical High $1,023.29 | Facility | None | $141.25 | $281.84 | $1,023.29 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $281.84 | Professional | None | $141.25 | $141.25 | $281.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $851.14 | Facility | None | $331.13 | $331.13 | $851.14 |
Anthem BCBS Setting Professional Modifier None Typical Low $257.04 Median $467.74 Typical High $776.25 | Professional | None | $257.04 | $467.74 | $776.25 |
CDPHP Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $707.95 Typical High $954.99 | Facility | None | $323.59 | $707.95 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $398.11 Typical High $1,584.89 | Professional | None | $199.53 | $398.11 | $1,584.89 |
Emblem Health Setting Facility Modifier None Typical Low $162.18 Median $331.13 Typical High $741.31 | Facility | None | $162.18 | $331.13 | $741.31 |
Emblem Health Setting Professional Modifier None Typical Low $194.98 Median $281.84 Typical High $436.52 | Professional | None | $194.98 | $281.84 | $436.52 |
Excellus BCBS Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Excellus BCBS Setting Professional Modifier None Typical Low $112.20 Median $316.23 Typical High $380.19 | Professional | None | $112.20 | $316.23 | $380.19 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $660.69 | Facility | None | $13.80 | $257.04 | $660.69 |
MVP Health Care Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $676.08 | Professional | None | $109.65 | $109.65 | $676.08 |
United Setting Facility Modifier None Typical Low $295.12 Median $331.13 Typical High $416.87 | Facility | None | $295.12 | $331.13 | $416.87 |
United Setting Professional Modifier None Typical Low $138.04 Median $158.49 Typical High $501.19 | Professional | None | $138.04 | $158.49 | $501.19 |
Univera Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $354.81 | Facility | None | $87.10 | $87.10 | $354.81 |
Univera Setting Professional Modifier None Typical Low $93.33 Median $316.23 Typical High $371.54 | Professional | None | $93.33 | $316.23 | $371.54 |
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 $70.79 Median $70.79 Typical High $141.25 | Professional | 52 · Reduced service | $70.79 | $70.79 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $56.23 | Professional | 53 · Discontinued | $28.18 | $28.18 | $56.23 |
Where New York sits
The same service costs 5.2 times more in Texas 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· 23rd of 51
$282
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.