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 $213.80 Median $295.12 Typical High $870.96 | Facility | None | $213.80 | $295.12 | $870.96 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $295.12 | Professional | None | $213.80 | $213.80 | $295.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $912.01 | Facility | None | $346.74 | $346.74 | $912.01 |
Anthem BCBS Setting Professional Modifier None Typical Low $295.12 Median $489.78 Typical High $912.01 | Professional | None | $295.12 | $489.78 | $912.01 |
CDPHP Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $741.31 Typical High $1,000.00 | Facility | None | $338.84 | $741.31 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $426.58 Typical High $1,698.24 | Professional | None | $213.80 | $426.58 | $1,698.24 |
Emblem Health Setting Facility Modifier None Typical Low $123.03 Median $346.74 Typical High $776.25 | Facility | None | $123.03 | $346.74 | $776.25 |
Emblem Health Setting Professional Modifier None Typical Low $245.47 Median $295.12 Typical High $467.74 | Professional | None | $245.47 | $295.12 | $467.74 |
Excellus BCBS Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Excellus BCBS Setting Professional Modifier None Typical Low $295.12 Median $346.74 Typical High $446.68 | Professional | None | $295.12 | $346.74 | $446.68 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $346.74 Typical High $741.31 | Facility | None | $13.80 | $346.74 | $741.31 |
MVP Health Care Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $724.44 | Professional | None | $208.93 | $208.93 | $724.44 |
United Setting Facility Modifier None Typical Low $316.23 Median $346.74 Typical High $436.52 | Facility | None | $316.23 | $346.74 | $436.52 |
United Setting Professional Modifier None Typical Low $147.91 Median $177.83 Typical High $537.03 | Professional | None | $147.91 | $177.83 | $537.03 |
Univera Setting Facility Modifier None Typical Low $223.87 Median $346.74 Typical High $416.87 | Facility | None | $223.87 | $346.74 | $416.87 |
Univera Setting Professional Modifier None Typical Low $295.12 Median $346.74 Typical High $446.68 | Professional | None | $295.12 | $346.74 | $446.68 |
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 $107.15 Median $107.15 Typical High $147.91 | Professional | 52 · Reduced service | $107.15 | $107.15 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $58.88 | Professional | 53 · Discontinued | $42.66 | $42.66 | $58.88 |
Where New York sits
The same service costs 4.5 times more in Alaska 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
$347
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.