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 $162.18 Median $251.19 Typical High $912.01 | Facility | None | $162.18 | $251.19 | $912.01 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $251.19 | Professional | None | $162.18 | $162.18 | $251.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $776.25 | Facility | None | $295.12 | $295.12 | $776.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $281.84 Median $426.58 Typical High $741.31 | Professional | None | $281.84 | $426.58 | $741.31 |
CDPHP Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None | $295.12 | $295.12 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $741.31 Typical High $912.01 | Facility | None | $288.40 | $741.31 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $371.54 Typical High $977.24 | Professional | None | $177.83 | $371.54 | $977.24 |
Emblem Health Setting Facility Modifier None Typical Low $194.98 Median $316.23 Typical High $660.69 | Facility | None | $194.98 | $316.23 | $660.69 |
Emblem Health Setting Professional Modifier None Typical Low $177.83 Median $251.19 Typical High $398.11 | Professional | None | $177.83 | $251.19 | $398.11 |
Excellus BCBS Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Excellus BCBS Setting Professional Modifier None Typical Low $190.55 Median $281.84 Typical High $338.84 | Professional | None | $190.55 | $281.84 | $338.84 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $263.03 Typical High $588.84 | Facility | None | $13.80 | $263.03 | $588.84 |
MVP Health Care Setting Professional Modifier None Typical Low $190.55 Median $223.87 Typical High $602.56 | Professional | None | $190.55 | $223.87 | $602.56 |
United Setting Facility Modifier None Typical Low $269.15 Median $295.12 Typical High $371.54 | Facility | None | $269.15 | $295.12 | $371.54 |
United Setting Professional Modifier None Typical Low $123.03 Median $144.54 Typical High $446.68 | Professional | None | $123.03 | $144.54 | $446.68 |
Univera Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $389.05 | Facility | None | $177.83 | $177.83 | $389.05 |
Univera Setting Professional Modifier None Typical Low $177.83 Median $281.84 Typical High $338.84 | Professional | None | $177.83 | $281.84 | $338.84 |
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 $81.28 Median $81.28 Typical High $125.89 | Professional | 52 · Reduced service | $81.28 | $81.28 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $50.12 | Professional | 53 · Discontinued | $32.36 | $32.36 | $50.12 |
Where New York sits
The same service costs 3.8 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· 28th of 51
$282
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.