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 $190.55 Median $346.74 Typical High $1,000.00 | Facility | None | $190.55 | $346.74 | $1,000.00 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $407.38 | Professional | None | $162.18 | $162.18 | $407.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $1,047.13 | Facility | None | $407.38 | $407.38 | $1,047.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $380.19 Median $562.34 Typical High $933.25 | Professional | None | $380.19 | $562.34 | $933.25 |
CDPHP Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None | $407.38 | $407.38 | $407.38 |
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 $245.47 Median $489.78 Typical High $1,949.84 | Professional | None | $245.47 | $489.78 | $1,949.84 |
Emblem Health Setting Facility Modifier None Typical Low $125.89 Median $407.38 Typical High $912.01 | Facility | None | $125.89 | $407.38 | $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 $302.00 Median $407.38 Typical High $467.74 | Professional | None | $302.00 | $407.38 | $467.74 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $263.03 Typical High $812.83 | Facility | None | $13.80 | $263.03 | $812.83 |
MVP Health Care Setting Professional Modifier None Typical Low $263.03 Median $302.00 Typical High $831.76 | Professional | None | $263.03 | $302.00 | $831.76 |
United Setting Facility Modifier None Typical Low $363.08 Median $407.38 Typical High $501.19 | Facility | None | $363.08 | $407.38 | $501.19 |
United Setting Professional Modifier None Typical Low $165.96 Median $194.98 Typical High $616.60 | Professional | None | $165.96 | $194.98 | $616.60 |
Univera Setting Facility Modifier None Typical Low $263.03 Median $309.03 Typical High $512.86 | Facility | None | $263.03 | $309.03 | $512.86 |
Univera Setting Professional Modifier None Typical Low $263.03 Median $380.19 Typical High $467.74 | Professional | None | $263.03 | $380.19 | $467.74 |
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 $239.88 | Professional | 52 · Reduced service | $81.28 | $81.28 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $95.50 | Professional | 53 · Discontinued | $33.11 | $33.11 | $95.50 |
Where New York sits
The same service costs 5.2 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· 27th of 51
$380
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.