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 $102.33 Median $147.91 Typical High $371.54 | Facility | None | $102.33 | $147.91 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $120.23 Typical High $120.23 | Professional | None | $102.33 | $120.23 | $120.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $309.03 | Facility | None | $120.23 | $120.23 | $309.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.13 Median $154.88 Typical High $269.15 | Professional | None | $8.13 | $154.88 | $269.15 |
CDPHP Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $302.00 Typical High $812.83 | Facility | None | $117.49 | $302.00 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $144.54 Typical High $575.44 | Professional | None | $72.44 | $144.54 | $575.44 |
Emblem Health Setting Facility Modifier None Typical Low $120.23 Median $199.53 Typical High $331.13 | Facility | None | $120.23 | $199.53 | $331.13 |
Emblem Health Setting Professional Modifier None Typical Low $83.18 Median $102.33 Typical High $173.78 | Professional | None | $83.18 | $102.33 | $173.78 |
Excellus BCBS Setting Professional Modifier None Typical Low $95.50 Median $114.82 Typical High $138.04 | Professional | None | $95.50 | $114.82 | $138.04 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $213.80 Typical High $257.04 | Facility | None | $13.80 | $213.80 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $77.62 Median $245.47 Typical High $363.08 | Professional | None | $77.62 | $245.47 | $363.08 |
United Setting Facility Modifier None Typical Low $107.15 Median $120.23 Typical High $151.36 | Facility | None | $107.15 | $120.23 | $151.36 |
United Setting Professional Modifier None Typical Low $50.12 Median $58.88 Typical High $181.97 | Professional | None | $50.12 | $58.88 | $181.97 |
Univera Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $125.89 | Facility | None | $77.62 | $77.62 | $125.89 |
Univera Setting Professional Modifier None Typical Low $95.50 Median $114.82 Typical High $134.90 | Professional | None | $95.50 | $114.82 | $134.90 |
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 $51.29 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $51.29 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $20.42 | $23.99 | $23.99 |
Where New York sits
The same service costs 5.9 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· 29th of 51
$120
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.