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 $154.88 Median $229.09 Typical High $912.01 | Facility | None | $154.88 | $229.09 | $912.01 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $186.21 | Professional | None | $154.88 | $154.88 | $186.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $537.03 | Facility | None | $208.93 | $208.93 | $537.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $186.21 Median $309.03 Typical High $660.69 | Professional | None | $186.21 | $309.03 | $660.69 |
CDPHP Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $446.68 Typical High $588.84 | Facility | None | $204.17 | $446.68 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $281.84 Typical High $1,000.00 | Professional | None | $141.25 | $281.84 | $1,000.00 |
Emblem Health Setting Facility Modifier None Typical Low $15.85 Median $208.93 Typical High $467.74 | Facility | None | $15.85 | $208.93 | $467.74 |
Emblem Health Setting Professional Modifier None Typical Low $144.54 Median $173.78 Typical High $275.42 | Professional | None | $144.54 | $173.78 | $275.42 |
Excellus BCBS Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Excellus BCBS Setting Professional Modifier None Typical Low $162.18 Median $208.93 Typical High $269.15 | Professional | None | $162.18 | $208.93 | $269.15 |
Highmark BCBS Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $831.76 | Facility | None | $588.84 | $588.84 | $831.76 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $446.68 | Facility | None | $13.80 | $257.04 | $446.68 |
MVP Health Care Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $426.58 | Professional | None | $50.12 | $50.12 | $426.58 |
United Setting Facility Modifier None Typical Low $186.21 Median $208.93 Typical High $257.04 | Facility | None | $186.21 | $208.93 | $257.04 |
United Setting Professional Modifier None Typical Low $87.10 Median $120.23 Typical High $316.23 | Professional | None | $87.10 | $120.23 | $316.23 |
Univera Setting Facility Modifier None Typical Low $134.90 Median $208.93 Typical High $251.19 | Facility | None | $134.90 | $208.93 | $251.19 |
Univera Setting Professional Modifier None Typical Low $134.90 Median $208.93 Typical High $269.15 | Professional | None | $134.90 | $208.93 | $269.15 |
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 $77.62 Median $77.62 Typical High $89.13 | Professional | 52 · Reduced service | $77.62 | $77.62 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $35.48 | Professional | 53 · Discontinued | $30.90 | $30.90 | $35.48 |
Where New York sits
The same service costs 3.8 times more in Alaska than in Connecticut. 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· 26th 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.