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 $158.49 Median $245.47 Typical High $1,288.25 | Facility | None | $158.49 | $245.47 | $1,288.25 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $245.47 | Professional | None | $158.49 | $158.49 | $245.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $758.58 | Facility | None | $288.40 | $288.40 | $758.58 |
Anthem BCBS Setting Professional Modifier None Typical Low $281.84 Median $436.52 Typical High $741.31 | Professional | None | $281.84 | $436.52 | $741.31 |
CDPHP Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $616.60 Typical High $758.58 | Facility | None | $281.84 | $616.60 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $363.08 Typical High $954.99 | Professional | None | $177.83 | $363.08 | $954.99 |
Emblem Health Setting Facility Modifier None Typical Low $229.09 Median $346.74 Typical High $660.69 | Facility | None | $229.09 | $346.74 | $660.69 |
Emblem Health Setting Professional Modifier None Typical Low $204.17 Median $245.47 Typical High $426.58 | Professional | None | $204.17 | $245.47 | $426.58 |
Excellus BCBS Setting Professional Modifier None Typical Low $234.42 Median $275.42 Typical High $338.84 | Professional | None | $234.42 | $275.42 | $338.84 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $588.84 | Facility | None | $13.80 | $257.04 | $588.84 |
MVP Health Care Setting Professional Modifier None Typical Low $190.55 Median $218.78 Typical High $602.56 | Professional | None | $190.55 | $218.78 | $602.56 |
United Setting Facility Modifier None Typical Low $263.03 Median $288.40 Typical High $363.08 | Facility | None | $263.03 | $288.40 | $363.08 |
United Setting Professional Modifier None Typical Low $123.03 Median $141.25 Typical High $446.68 | Professional | None | $123.03 | $141.25 | $446.68 |
Univera Setting Facility Modifier None Typical Low $186.21 Median $309.03 Typical High $398.11 | Facility | None | $186.21 | $309.03 | $398.11 |
Univera Setting Professional Modifier None Typical Low $234.42 Median $275.42 Typical High $338.84 | Professional | None | $234.42 | $275.42 | $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 $79.43 Median $79.43 Typical High $123.03 | Professional | 52 · Reduced service | $79.43 | $79.43 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $48.98 | Professional | 53 · Discontinued | $31.62 | $31.62 | $48.98 |
Where New York sits
The same service costs 4.5 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· 30th of 51
$275
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.