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 $36.31 Median $83.18 Typical High $204.17 | Facility | None | $36.31 | $83.18 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $39.81 Typical High $114.82 | Professional | None | $36.31 | $39.81 | $114.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $120.23 | Facility | None | $46.77 | $46.77 | $120.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $43.65 Median $67.61 Typical High $239.88 | Professional | None | $43.65 | $67.61 | $239.88 |
CDPHP Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $100.00 Typical High $134.90 | Facility | None | $45.71 | $100.00 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $57.54 Typical High $223.87 | Professional | None | $28.84 | $57.54 | $223.87 |
Emblem Health Setting Facility Modifier None Typical Low $46.77 Median $77.62 Typical High $128.82 | Facility | None | $46.77 | $77.62 | $128.82 |
Emblem Health Setting Professional Modifier None Typical Low $32.36 Median $39.81 Typical High $67.61 | Professional | None | $32.36 | $39.81 | $67.61 |
Excellus BCBS Setting Professional Modifier None Typical Low $30.20 Median $46.77 Typical High $53.70 | Professional | None | $30.20 | $46.77 | $53.70 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $83.18 Typical High $257.04 | Facility | None | $13.80 | $83.18 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $34.67 Median $95.50 Typical High $218.78 | Professional | None | $34.67 | $95.50 | $218.78 |
United Setting Facility Modifier None Typical Low $41.69 Median $46.77 Typical High $58.88 | Facility | None | $41.69 | $46.77 | $58.88 |
United Setting Professional Modifier None Typical Low $19.50 Median $23.44 Typical High $70.79 | Professional | None | $19.50 | $23.44 | $70.79 |
Univera Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $48.98 | Facility | None | $30.20 | $30.20 | $48.98 |
Univera Setting Professional Modifier None Typical Low $30.20 Median $46.77 Typical High $53.70 | Professional | None | $30.20 | $46.77 | $53.70 |
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 $19.95 Median $41.69 Typical High $41.69 | Professional | 52 · Reduced service | $19.95 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $7.94 | $16.60 | $16.60 |
Where New York sits
The same service costs 8.3 times more in Texas than in Oklahoma. 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
$46.77
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.