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 $165.96 Median $257.04 Typical High $933.25 | Facility | None | $165.96 | $257.04 | $933.25 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $257.04 | Professional | None | $165.96 | $165.96 | $257.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $776.25 | Facility | None | $302.00 | $302.00 | $776.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $295.12 Median $446.68 Typical High $758.58 | Professional | None | $295.12 | $446.68 | $758.58 |
CDPHP Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None | $302.00 | $302.00 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $645.65 Typical High $776.25 | Facility | None | $295.12 | $645.65 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $371.54 Typical High $1,000.00 | Professional | None | $181.97 | $371.54 | $1,000.00 |
Emblem Health Setting Facility Modifier None Typical Low $234.42 Median $363.08 Typical High $676.08 | Facility | None | $234.42 | $363.08 | $676.08 |
Emblem Health Setting Professional Modifier None Typical Low $208.93 Median $257.04 Typical High $436.52 | Professional | None | $208.93 | $257.04 | $436.52 |
Excellus BCBS Setting Professional Modifier None Typical Low $239.88 Median $288.40 Typical High $346.74 | Professional | None | $239.88 | $288.40 | $346.74 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $602.56 | Facility | None | $13.80 | $257.04 | $602.56 |
MVP Health Care Setting Professional Modifier None Typical Low $194.98 Median $223.87 Typical High $616.60 | Professional | None | $194.98 | $223.87 | $616.60 |
United Setting Facility Modifier None Typical Low $269.15 Median $302.00 Typical High $380.19 | Facility | None | $269.15 | $302.00 | $380.19 |
United Setting Professional Modifier None Typical Low $125.89 Median $147.91 Typical High $457.09 | Professional | None | $125.89 | $147.91 | $457.09 |
Univera Setting Facility Modifier None Typical Low $194.98 Median $316.23 Typical High $407.38 | Facility | None | $194.98 | $316.23 | $407.38 |
Univera Setting Professional Modifier None Typical Low $239.88 Median $288.40 Typical High $346.74 | Professional | None | $239.88 | $288.40 | $346.74 |
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 $81.28 Median $81.28 Typical High $128.82 | Professional | 52 · Reduced service | $81.28 | $81.28 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $51.29 | Professional | 53 · Discontinued | $33.11 | $33.11 | $51.29 |
Where New York sits
The same service costs 4.7 times more in Texas than in Alabama. 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· 28th of 51
$288
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.