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 $74.13 Median $81.28 Typical High $234.42 | Facility | None | $74.13 | $81.28 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $81.28 | Professional | None | $67.61 | $67.61 | $81.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $245.47 | Facility | None | $95.50 | $95.50 | $245.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $91.20 Median $141.25 Typical High $288.40 | Professional | None | $91.20 | $141.25 | $288.40 |
CDPHP Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None | $95.50 | $95.50 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $234.42 Typical High $275.42 | Facility | None | $93.33 | $234.42 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $123.03 Typical High $457.09 | Professional | None | $61.66 | $123.03 | $457.09 |
Emblem Health Setting Facility Modifier None Typical Low $45.71 Median $95.50 Typical High $213.80 | Facility | None | $45.71 | $95.50 | $213.80 |
Emblem Health Setting Professional Modifier None Typical Low $66.07 Median $79.43 Typical High $138.04 | Professional | None | $66.07 | $79.43 | $138.04 |
Excellus BCBS Setting Professional Modifier None Typical Low $81.28 Median $95.50 Typical High $120.23 | Professional | None | $81.28 | $95.50 | $120.23 |
Highmark BCBS Setting Facility Modifier None Typical Low $31.62 Median $190.55 Typical High $316.23 | Facility | None | $31.62 | $190.55 | $316.23 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $169.82 Typical High $257.04 | Facility | None | $13.80 | $169.82 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $74.13 Median $85.11 Typical High $194.98 | Professional | None | $74.13 | $85.11 | $194.98 |
United Setting Facility Modifier None Typical Low $85.11 Median $95.50 Typical High $117.49 | Facility | None | $85.11 | $95.50 | $117.49 |
United Setting Professional Modifier None Typical Low $39.81 Median $52.48 Typical High $144.54 | Professional | None | $39.81 | $52.48 | $144.54 |
Univera Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $190.55 | Facility | None | $61.66 | $61.66 | $190.55 |
Univera Setting Professional Modifier None Typical Low $61.66 Median $95.50 Typical High $109.65 | Professional | None | $61.66 | $95.50 | $109.65 |
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 $33.88 Median $33.88 Typical High $39.81 | Professional | 52 · Reduced service | $33.88 | $33.88 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.49 Typical High $16.22 | Professional | 53 · Discontinued | $13.49 | $13.49 | $16.22 |
Where New York sits
The same service costs 3.5 times more in Kansas 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· 33rd of 51
$89.13
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.