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 $186.21 Typical High $724.44 | Facility | None | $87.10 | $186.21 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $204.17 | Professional | None | $87.10 | $87.10 | $204.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $616.60 | Facility | None | $239.88 | $239.88 | $616.60 |
Anthem BCBS Setting Professional Modifier None Typical Low $181.97 Median $323.59 Typical High $537.03 | Professional | None | $181.97 | $323.59 | $537.03 |
CDPHP Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None | $239.88 | $239.88 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $512.86 Typical High $676.08 | Facility | None | $234.42 | $512.86 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $288.40 Typical High $1,148.15 | Professional | None | $144.54 | $288.40 | $1,148.15 |
Emblem Health Setting Facility Modifier None Typical Low $239.88 Median $389.05 Typical High $660.69 | Facility | None | $239.88 | $389.05 | $660.69 |
Emblem Health Setting Professional Modifier None Typical Low $162.18 Median $199.53 Typical High $316.23 | Professional | None | $162.18 | $199.53 | $316.23 |
Excellus BCBS Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Excellus BCBS Setting Professional Modifier None Typical Low $162.18 Median $223.87 Typical High $275.42 | Professional | None | $162.18 | $223.87 | $275.42 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $478.63 | Facility | None | $13.80 | $257.04 | $478.63 |
MVP Health Care Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $489.78 | Professional | None | $109.65 | $109.65 | $489.78 |
United Setting Facility Modifier None Typical Low $213.80 Median $239.88 Typical High $295.12 | Facility | None | $213.80 | $239.88 | $295.12 |
United Setting Professional Modifier None Typical Low $95.50 Median $114.82 Typical High $363.08 | Professional | None | $95.50 | $114.82 | $363.08 |
Univera Setting Facility Modifier None Typical Low $154.88 Median $162.18 Typical High $251.19 | Facility | None | $154.88 | $162.18 | $251.19 |
Univera Setting Professional Modifier None Typical Low $162.18 Median $223.87 Typical High $275.42 | Professional | None | $162.18 | $223.87 | $275.42 |
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 $100.00 | Professional | 52 · Reduced service | $43.65 | $43.65 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $40.74 | Professional | 53 · Discontinued | $17.78 | $17.78 | $40.74 |
Where New York sits
The same service costs 3.8 times more in Alaska than in Oklahoma. 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
$209
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.