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 $302.00 Median $446.68 Typical High $1,778.28 | Facility | None | $302.00 | $446.68 | $1,778.28 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $338.84 | Professional | None | $302.00 | $302.00 | $338.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $1,047.13 | Facility | None | $398.11 | $398.11 | $1,047.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $380.19 Median $602.56 Typical High $1,288.25 | Professional | None | $380.19 | $602.56 | $1,288.25 |
CDPHP Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $870.96 Typical High $1,148.15 | Facility | None | $389.05 | $870.96 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $537.03 Typical High $1,949.84 | Professional | None | $269.15 | $537.03 | $1,949.84 |
Emblem Health Setting Facility Modifier None Typical Low $229.09 Median $398.11 Typical High $912.01 | Facility | None | $229.09 | $398.11 | $912.01 |
Emblem Health Setting Professional Modifier None Typical Low $281.84 Median $338.84 Typical High $588.84 | Professional | None | $281.84 | $338.84 | $588.84 |
Excellus BCBS Setting Professional Modifier None Typical Low $338.84 Median $398.11 Typical High $588.84 | Professional | None | $338.84 | $398.11 | $588.84 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,148.15 Median $1,380.38 Typical High $1,819.70 | Facility | None | $1,148.15 | $1,380.38 | $1,819.70 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $398.11 Typical High $812.83 | Facility | None | $13.80 | $398.11 | $812.83 |
MVP Health Care Setting Professional Modifier None Typical Low $323.59 Median $549.54 Typical High $831.76 | Professional | None | $323.59 | $549.54 | $831.76 |
United Setting Facility Modifier None Typical Low $363.08 Median $398.11 Typical High $501.19 | Facility | None | $363.08 | $398.11 | $501.19 |
United Setting Professional Modifier None Typical Low $169.82 Median $229.09 Typical High $616.60 | Professional | None | $169.82 | $229.09 | $616.60 |
Univera Setting Facility Modifier None Typical Low $257.04 Median $426.58 Typical High $954.99 | Facility | None | $257.04 | $426.58 | $954.99 |
Univera Setting Professional Modifier None Typical Low $257.04 Median $398.11 Typical High $524.81 | Professional | None | $257.04 | $398.11 | $524.81 |
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 $147.91 Median $147.91 Typical High $173.78 | Professional | 52 · Reduced service | $147.91 | $147.91 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $60.26 Typical High $69.18 | Professional | 53 · Discontinued | $60.26 | $60.26 | $69.18 |
Where New York sits
The same service costs 3.8 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· 31st of 51
$398
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.