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 $45.71 Median $151.36 Typical High $588.84 | Facility | None | $45.71 | $151.36 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $162.18 | Professional | None | $45.71 | $45.71 | $162.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $87.10 Median $239.88 Typical High $436.52 | Professional | None | $87.10 | $239.88 | $436.52 |
CDPHP Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None | $190.55 | $190.55 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $407.38 Typical High $501.19 | Facility | None | $186.21 | $407.38 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $107.15 Typical High $467.74 | Professional | None | $74.13 | $107.15 | $467.74 |
Emblem Health Setting Facility Modifier None Typical Low $190.55 Median $316.23 Typical High $524.81 | Facility | None | $190.55 | $316.23 | $524.81 |
Emblem Health Setting Professional Modifier None Typical Low $134.90 Median $162.18 Typical High $275.42 | Professional | None | $134.90 | $162.18 | $275.42 |
Excellus BCBS Setting Professional Modifier None Typical Low $123.03 Median $190.55 Typical High $218.78 | Professional | None | $123.03 | $190.55 | $218.78 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $380.19 | Facility | None | $13.80 | $257.04 | $380.19 |
MVP Health Care Setting Professional Modifier None Typical Low $63.10 Median $95.50 Typical High $398.11 | Professional | None | $63.10 | $95.50 | $398.11 |
United Setting Facility Modifier None Typical Low $173.78 Median $190.55 Typical High $239.88 | Facility | None | $173.78 | $190.55 | $239.88 |
United Setting Professional Modifier None Typical Low $75.86 Median $87.10 Typical High $288.40 | Professional | None | $75.86 | $87.10 | $288.40 |
Univera Setting Facility Modifier None Typical Low $97.72 Median $123.03 Typical High $204.17 | Facility | None | $97.72 | $123.03 | $204.17 |
Univera Setting Professional Modifier None Typical Low $114.82 Median $190.55 Typical High $218.78 | Professional | None | $114.82 | $190.55 | $218.78 |
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 $22.91 Median $22.91 Typical High $81.28 | Professional | 52 · Reduced service | $22.91 | $22.91 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $32.36 | Professional | 53 · Discontinued | $9.12 | $9.12 | $32.36 |
Where New York sits
The same service costs 5.4 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· 27th of 51
$151
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.