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 $70.79 Median $263.03 Typical High $1,047.13 | Facility | None | $70.79 | $263.03 | $1,047.13 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $288.40 | Professional | None | $70.79 | $70.79 | $288.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $870.96 | Facility | None | $338.84 | $338.84 | $870.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $173.78 Median $426.58 Typical High $758.58 | Professional | None | $173.78 | $426.58 | $758.58 |
CDPHP Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $724.44 Typical High $977.24 | Facility | None | $331.13 | $724.44 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $407.38 Typical High $1,621.81 | Professional | None | $199.53 | $407.38 | $1,621.81 |
Emblem Health Setting Facility Modifier None Typical Low $81.28 Median $338.84 Typical High $758.58 | Facility | None | $81.28 | $338.84 | $758.58 |
Emblem Health Setting Professional Modifier None Typical Low $199.53 Median $288.40 Typical High $446.68 | Professional | None | $199.53 | $288.40 | $446.68 |
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 $323.59 Typical High $389.05 | Professional | None | $112.20 | $323.59 | $389.05 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $676.08 | Facility | None | $13.80 | $257.04 | $676.08 |
MVP Health Care Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $691.83 | Professional | None | $109.65 | $109.65 | $691.83 |
United Setting Facility Modifier None Typical Low $302.00 Median $338.84 Typical High $426.58 | Facility | None | $302.00 | $338.84 | $426.58 |
United Setting Professional Modifier None Typical Low $131.83 Median $151.36 Typical High $512.86 | Professional | None | $131.83 | $151.36 | $512.86 |
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 $87.10 Median $323.59 Typical High $380.19 | Professional | None | $87.10 | $323.59 | $380.19 |
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 $35.48 Median $35.48 Typical High $144.54 | Professional | 52 · Reduced service | $35.48 | $35.48 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $57.54 | Professional | 53 · Discontinued | $14.13 | $14.13 | $57.54 |
Where New York sits
The same service costs 6.6 times more in Texas than in Kentucky. 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· 27th of 51
$257
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.