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 $426.58 Median $630.96 Typical High $2,089.30 | Facility | None | $426.58 | $630.96 | $2,089.30 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $660.69 | Professional | None | $426.58 | $426.58 | $660.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $1,778.28 | Facility | None | $676.08 | $676.08 | $1,778.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $616.60 Median $977.24 Typical High $1,819.70 | Professional | None | $616.60 | $977.24 | $1,819.70 |
CDPHP Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,445.44 Typical High $1,949.84 | Facility | None | $660.69 | $1,445.44 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $831.76 Typical High $3,235.94 | Professional | None | $407.38 | $831.76 | $3,235.94 |
Emblem Health Setting Facility Modifier None Typical Low $489.78 Median $794.33 Typical High $1,513.56 | Facility | None | $489.78 | $794.33 | $1,513.56 |
Emblem Health Setting Professional Modifier None Typical Low $478.63 Median $575.44 Typical High $977.24 | Professional | None | $478.63 | $575.44 | $977.24 |
Excellus BCBS Setting Professional Modifier None Typical Low $537.03 Median $645.65 Typical High $776.25 | Professional | None | $537.03 | $645.65 | $776.25 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $676.08 Typical High $1,348.96 | Facility | None | $13.80 | $676.08 | $1,348.96 |
MVP Health Care Setting Professional Modifier None Typical Low $457.09 Median $1,288.25 Typical High $1,380.38 | Professional | None | $457.09 | $1,288.25 | $1,380.38 |
United Setting Facility Modifier None Typical Low $602.56 Median $676.08 Typical High $851.14 | Facility | None | $602.56 | $676.08 | $851.14 |
United Setting Professional Modifier None Typical Low $281.84 Median $354.81 Typical High $1,023.29 | Professional | None | $281.84 | $354.81 | $1,023.29 |
Univera Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $724.44 | Facility | None | $436.52 | $436.52 | $724.44 |
Univera Setting Professional Modifier None Typical Low $537.03 Median $645.65 Typical High $758.58 | Professional | None | $537.03 | $645.65 | $758.58 |
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 $213.80 Median $213.80 Typical High $331.13 | Professional | 52 · Reduced service | $213.80 | $213.80 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $134.90 | Professional | 53 · Discontinued | $85.11 | $85.11 | $134.90 |
Where New York sits
The same service costs 3.6 times more in Texas than in Delaware. 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
$676
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.