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 $131.83 Median $169.82 Typical High $549.54 | Facility | None | $131.83 | $169.82 | $549.54 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $158.49 | Professional | None | $131.83 | $131.83 | $158.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $457.09 | Facility | None | $177.83 | $177.83 | $457.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $165.96 Median $269.15 Typical High $562.34 | Professional | None | $165.96 | $269.15 | $562.34 |
CDPHP Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $446.68 Typical High $512.86 | Facility | None | $173.78 | $446.68 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $239.88 Typical High $851.14 | Professional | None | $120.23 | $239.88 | $851.14 |
Emblem Health Setting Facility Modifier None Typical Low $83.18 Median $177.83 Typical High $398.11 | Facility | None | $83.18 | $177.83 | $398.11 |
Emblem Health Setting Professional Modifier None Typical Low $123.03 Median $151.36 Typical High $257.04 | Professional | None | $123.03 | $151.36 | $257.04 |
Excellus BCBS Setting Professional Modifier None Typical Low $151.36 Median $177.83 Typical High $213.80 | Professional | None | $151.36 | $177.83 | $213.80 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $354.81 | Facility | None | $13.80 | $257.04 | $354.81 |
MVP Health Care Setting Professional Modifier None Typical Low $141.25 Median $194.98 Typical High $363.08 | Professional | None | $141.25 | $194.98 | $363.08 |
United Setting Facility Modifier None Typical Low $158.49 Median $177.83 Typical High $223.87 | Facility | None | $158.49 | $177.83 | $223.87 |
United Setting Professional Modifier None Typical Low $74.13 Median $102.33 Typical High $269.15 | Professional | None | $74.13 | $102.33 | $269.15 |
Univera Setting Facility Modifier None Typical Low $114.82 Median $186.21 Typical High $616.60 | Facility | None | $114.82 | $186.21 | $616.60 |
Univera Setting Professional Modifier None Typical Low $114.82 Median $177.83 Typical High $204.17 | Professional | None | $114.82 | $177.83 | $204.17 |
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 $66.07 Median $66.07 Typical High $75.86 | Professional | 52 · Reduced service | $66.07 | $66.07 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $30.90 | Professional | 53 · Discontinued | $26.30 | $26.30 | $30.90 |
Where New York sits
The same service costs 3.4 times more in Alaska 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· 27th of 51
$178
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.