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 $104.71 Median $165.96 Typical High $588.84 | Facility | None | $104.71 | $165.96 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $165.96 | Professional | None | $104.71 | $104.71 | $165.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $501.19 | Facility | None | $194.98 | $194.98 | $501.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $181.97 Median $281.84 Typical High $489.78 | Professional | None | $181.97 | $281.84 | $489.78 |
CDPHP Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None | $194.98 | $194.98 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $416.87 Typical High $501.19 | Facility | None | $190.55 | $416.87 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $245.47 Typical High $660.69 | Professional | None | $120.23 | $245.47 | $660.69 |
Emblem Health Setting Facility Modifier None Typical Low $162.18 Median $245.47 Typical High $436.52 | Facility | None | $162.18 | $245.47 | $436.52 |
Emblem Health Setting Professional Modifier None Typical Low $117.49 Median $162.18 Typical High $257.04 | Professional | None | $117.49 | $162.18 | $257.04 |
Excellus BCBS Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Excellus BCBS Setting Professional Modifier None Typical Low $131.83 Median $165.96 Typical High $223.87 | Professional | None | $131.83 | $165.96 | $223.87 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $389.05 | Facility | None | $13.80 | $257.04 | $389.05 |
MVP Health Care Setting Professional Modifier None Typical Low $125.89 Median $144.54 Typical High $398.11 | Professional | None | $125.89 | $144.54 | $398.11 |
United Setting Facility Modifier None Typical Low $173.78 Median $194.98 Typical High $239.88 | Facility | None | $173.78 | $194.98 | $239.88 |
United Setting Professional Modifier None Typical Low $81.28 Median $95.50 Typical High $295.12 | Professional | None | $81.28 | $95.50 | $295.12 |
Univera Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $239.88 | Facility | None | $117.49 | $117.49 | $239.88 |
Univera Setting Professional Modifier None Typical Low $125.89 Median $165.96 Typical High $218.78 | Professional | None | $125.89 | $165.96 | $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 $52.48 Median $52.48 Typical High $81.28 | Professional | 52 · Reduced service | $52.48 | $52.48 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $33.11 | Professional | 53 · Discontinued | $20.89 | $20.89 | $33.11 |
Where New York sits
The same service costs 8.3 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· 35th of 51
$166
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.