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 $162.18 Median $208.93 Typical High $562.34 | Facility | None | $162.18 | $208.93 | $562.34 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $199.53 | Professional | None | $162.18 | $162.18 | $199.53 |
Anthem BCBS Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $575.44 | Facility | None | $218.78 | $218.78 | $575.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $208.93 Median $331.13 Typical High $691.83 | Professional | None | $208.93 | $331.13 | $691.83 |
CDPHP Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None | $218.78 | $218.78 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $549.54 Typical High $630.96 | Facility | None | $213.80 | $549.54 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $295.12 Typical High $1,071.52 | Professional | None | $147.91 | $295.12 | $1,071.52 |
Emblem Health Setting Facility Modifier None Typical Low $104.71 Median $218.78 Typical High $501.19 | Facility | None | $104.71 | $218.78 | $501.19 |
Emblem Health Setting Professional Modifier None Typical Low $131.83 Median $186.21 Typical High $323.59 | Professional | None | $131.83 | $186.21 | $323.59 |
Excellus BCBS Setting Professional Modifier None Typical Low $186.21 Median $218.78 Typical High $323.59 | Professional | None | $186.21 | $218.78 | $323.59 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $436.52 | Facility | None | $13.80 | $257.04 | $436.52 |
MVP Health Care Setting Professional Modifier None Typical Low $177.83 Median $302.00 Typical High $457.09 | Professional | None | $177.83 | $302.00 | $457.09 |
United Setting Facility Modifier None Typical Low $199.53 Median $218.78 Typical High $275.42 | Facility | None | $199.53 | $218.78 | $275.42 |
United Setting Professional Modifier None Typical Low $93.33 Median $125.89 Typical High $338.84 | Professional | None | $93.33 | $125.89 | $338.84 |
Univera Setting Facility Modifier None Typical Low $33.11 Median $141.25 Typical High $234.42 | Facility | None | $33.11 | $141.25 | $234.42 |
Univera Setting Professional Modifier None Typical Low $141.25 Median $218.78 Typical High $251.19 | Professional | None | $141.25 | $218.78 | $251.19 |
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 $95.50 | Professional | 52 · Reduced service | $81.28 | $81.28 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $38.02 | Professional | 53 · Discontinued | $33.11 | $33.11 | $38.02 |
Where New York sits
The same service costs 3.1 times more in Alaska than in New Jersey. 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· 30th of 51
$219
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.