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 $87.10 Median $239.88 Typical High $954.99 | Facility | None | $87.10 | $239.88 | $954.99 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $263.03 | Professional | None | $87.10 | $87.10 | $263.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $794.33 | Facility | None | $309.03 | $309.03 | $794.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $194.98 Median $398.11 Typical High $691.83 | Professional | None | $194.98 | $398.11 | $691.83 |
CDPHP Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $660.69 Typical High $891.25 | Facility | None | $302.00 | $660.69 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $371.54 Typical High $1,479.11 | Professional | None | $181.97 | $371.54 | $1,479.11 |
Emblem Health Setting Facility Modifier None Typical Low $102.33 Median $309.03 Typical High $691.83 | Facility | None | $102.33 | $309.03 | $691.83 |
Emblem Health Setting Professional Modifier None Typical Low $181.97 Median $263.03 Typical High $407.38 | Professional | None | $181.97 | $263.03 | $407.38 |
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 $295.12 Typical High $354.81 | Professional | None | $112.20 | $295.12 | $354.81 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $616.60 | Facility | None | $13.80 | $257.04 | $616.60 |
MVP Health Care Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $630.96 | Professional | None | $109.65 | $109.65 | $630.96 |
United Setting Facility Modifier None Typical Low $275.42 Median $309.03 Typical High $389.05 | Facility | None | $275.42 | $309.03 | $389.05 |
United Setting Professional Modifier None Typical Low $123.03 Median $147.91 Typical High $467.74 | Professional | None | $123.03 | $147.91 | $467.74 |
Univera Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $323.59 | Facility | None | $87.10 | $87.10 | $323.59 |
Univera Setting Professional Modifier None Typical Low $87.10 Median $295.12 Typical High $346.74 | Professional | None | $87.10 | $295.12 | $346.74 |
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 $43.65 Median $43.65 Typical High $131.83 | Professional | 52 · Reduced service | $43.65 | $43.65 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.38 Typical High $52.48 | Professional | 53 · Discontinued | $17.38 | $17.38 | $52.48 |
Where New York sits
The same service costs 5.9 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· 21st 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.