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 $257.04 Median $331.13 Typical High $1,071.52 | Facility | None | $257.04 | $331.13 | $1,071.52 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $309.03 | Professional | None | $257.04 | $257.04 | $309.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $891.25 | Facility | None | $346.74 | $346.74 | $891.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $346.74 Median $549.54 Typical High $1,148.15 | Professional | None | $346.74 | $549.54 | $1,148.15 |
CDPHP Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $870.96 Typical High $1,000.00 | Facility | None | $338.84 | $870.96 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $467.74 Typical High $1,659.59 | Professional | None | $234.42 | $467.74 | $1,659.59 |
Emblem Health Setting Facility Modifier None Typical Low $194.98 Median $346.74 Typical High $776.25 | Facility | None | $194.98 | $346.74 | $776.25 |
Emblem Health Setting Professional Modifier None Typical Low $239.88 Median $295.12 Typical High $501.19 | Professional | None | $239.88 | $295.12 | $501.19 |
Excellus BCBS Setting Professional Modifier None Typical Low $295.12 Median $346.74 Typical High $501.19 | Professional | None | $295.12 | $346.74 | $501.19 |
Highmark BCBS Setting Facility Modifier None Typical Low $602.56 Median $851.14 Typical High $1,148.15 | Facility | None | $602.56 | $851.14 | $1,148.15 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $346.74 Typical High $691.83 | Facility | None | $13.80 | $346.74 | $691.83 |
MVP Health Care Setting Professional Modifier None Typical Low $275.42 Median $478.63 Typical High $707.95 | Professional | None | $275.42 | $478.63 | $707.95 |
United Setting Facility Modifier None Typical Low $309.03 Median $346.74 Typical High $436.52 | Facility | None | $309.03 | $346.74 | $436.52 |
United Setting Professional Modifier None Typical Low $144.54 Median $199.53 Typical High $524.81 | Professional | None | $144.54 | $199.53 | $524.81 |
Univera Setting Facility Modifier None Typical Low $223.87 Median $363.08 Typical High $1,318.26 | Facility | None | $223.87 | $363.08 | $1,318.26 |
Univera Setting Professional Modifier None Typical Low $223.87 Median $346.74 Typical High $478.63 | Professional | None | $223.87 | $346.74 | $478.63 |
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 $128.82 Median $128.82 Typical High $147.91 | Professional | 52 · Reduced service | $128.82 | $128.82 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $60.26 | Professional | 53 · Discontinued | $51.29 | $51.29 | $60.26 |
Where New York sits
The same service costs 4.6 times more in Texas 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· 35th of 51
$347
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.