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 $81.28 Median $128.82 Typical High $371.54 | Facility | None | $81.28 | $128.82 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $128.82 | Professional | None | $81.28 | $81.28 | $128.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $389.05 | Facility | None | $151.36 | $151.36 | $389.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $141.25 Median $218.78 Typical High $380.19 | Professional | None | $141.25 | $218.78 | $380.19 |
CDPHP Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None | $151.36 | $151.36 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $371.54 Typical High $436.52 | Facility | None | $147.91 | $371.54 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $190.55 Typical High $512.86 | Professional | None | $95.50 | $190.55 | $512.86 |
Emblem Health Setting Facility Modifier None Typical Low $125.89 Median $190.55 Typical High $338.84 | Facility | None | $125.89 | $190.55 | $338.84 |
Emblem Health Setting Professional Modifier None Typical Low $91.20 Median $125.89 Typical High $199.53 | Professional | None | $91.20 | $125.89 | $199.53 |
Excellus BCBS Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Excellus BCBS Setting Professional Modifier None Typical Low $102.33 Median $128.82 Typical High $173.78 | Professional | None | $102.33 | $128.82 | $173.78 |
Highmark BCBS Setting Facility Modifier None Typical Low $131.83 Median $251.19 Typical High $288.40 | Facility | None | $131.83 | $251.19 | $288.40 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $302.00 | Facility | None | $13.80 | $257.04 | $302.00 |
MVP Health Care Setting Professional Modifier None Typical Low $97.72 Median $112.20 Typical High $309.03 | Professional | None | $97.72 | $112.20 | $309.03 |
United Setting Facility Modifier None Typical Low $134.90 Median $151.36 Typical High $186.21 | Facility | None | $134.90 | $151.36 | $186.21 |
United Setting Professional Modifier None Typical Low $63.10 Median $74.13 Typical High $229.09 | Professional | None | $63.10 | $74.13 | $229.09 |
Univera Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $186.21 | Facility | None | $91.20 | $91.20 | $186.21 |
Univera Setting Professional Modifier None Typical Low $97.72 Median $128.82 Typical High $165.96 | Professional | None | $97.72 | $128.82 | $165.96 |
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 $40.74 Median $40.74 Typical High $64.57 | Professional | 52 · Reduced service | $40.74 | $40.74 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.22 Typical High $25.70 | Professional | 53 · Discontinued | $16.22 | $16.22 | $25.70 |
Where New York sits
The same service costs 5.4 times more in Alaska 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· 37th of 51
$129
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.