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 $177.83 Median $275.42 Typical High $630.96 | Facility | None | $177.83 | $275.42 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $234.42 Typical High $251.19 | Professional | None | $177.83 | $234.42 | $251.19 |
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 $194.98 Median $323.59 Typical High $933.25 | Professional | None | $194.98 | $323.59 | $933.25 |
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 $457.09 Typical High $588.84 | Facility | None | $204.17 | $457.09 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $295.12 Typical High $1,000.00 | Professional | None | $141.25 | $295.12 | $1,000.00 |
Emblem Health Setting Facility Modifier None Typical Low $208.93 Median $302.00 Typical High $562.34 | Facility | None | $208.93 | $302.00 | $562.34 |
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 $177.83 Median $208.93 Typical High $269.15 | Professional | None | $177.83 | $208.93 | $269.15 |
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 $114.82 Median $114.82 Typical High $426.58 | Professional | None | $114.82 | $114.82 | $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 $123.03 Typical High $346.74 | Professional | None | $87.10 | $123.03 | $346.74 |
Univera Setting Facility Modifier None Typical Low $134.90 Median $208.93 Typical High $218.78 | Facility | None | $134.90 | $208.93 | $218.78 |
Univera Setting Professional Modifier None Typical Low $177.83 Median $208.93 Typical High $269.15 | Professional | None | $177.83 | $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 $89.13 Median $117.49 Typical High $117.49 | Professional | 52 · Reduced service | $89.13 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $46.77 Typical High $46.77 | Professional | 53 · Discontinued | $35.48 | $46.77 | $46.77 |
Where New York sits
The same service costs 3.4 times more in Texas than in Ohio. 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· 30th of 51
$214
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.