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 $81.28 Median $93.33 Typical High $275.42 | Facility | None | $81.28 | $93.33 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $93.33 | Professional | None | $81.28 | $81.28 | $93.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $281.84 | Facility | None | $109.65 | $109.65 | $281.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $102.33 Median $162.18 Typical High $346.74 | Professional | None | $102.33 | $162.18 | $346.74 |
CDPHP Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $269.15 Typical High $316.23 | Facility | None | $107.15 | $269.15 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $147.91 Typical High $524.81 | Professional | None | $74.13 | $147.91 | $524.81 |
Emblem Health Setting Facility Modifier None Typical Low $61.66 Median $109.65 Typical High $245.47 | Facility | None | $61.66 | $109.65 | $245.47 |
Emblem Health Setting Professional Modifier None Typical Low $75.86 Median $93.33 Typical High $158.49 | Professional | None | $75.86 | $93.33 | $158.49 |
Excellus BCBS Setting Professional Modifier None Typical Low $93.33 Median $109.65 Typical High $158.49 | Professional | None | $93.33 | $109.65 | $158.49 |
Highmark BCBS Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $489.78 | Facility | None | $213.80 | $213.80 | $489.78 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $194.98 Typical High $257.04 | Facility | None | $13.80 | $194.98 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $87.10 Median $141.25 Typical High $223.87 | Professional | None | $87.10 | $141.25 | $223.87 |
United Setting Facility Modifier None Typical Low $97.72 Median $109.65 Typical High $134.90 | Facility | None | $97.72 | $109.65 | $134.90 |
United Setting Professional Modifier None Typical Low $45.71 Median $63.10 Typical High $165.96 | Professional | None | $45.71 | $63.10 | $165.96 |
Univera Setting Facility Modifier None Typical Low $70.79 Median $114.82 Typical High $616.60 | Facility | None | $70.79 | $114.82 | $616.60 |
Univera Setting Professional Modifier None Typical Low $70.79 Median $109.65 Typical High $151.36 | Professional | None | $70.79 | $109.65 | $151.36 |
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 $40.74 Median $40.74 Typical High $46.77 | Professional | 52 · Reduced service | $40.74 | $40.74 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.22 Typical High $19.05 | Professional | 53 · Discontinued | $16.22 | $16.22 | $19.05 |
Where New York sits
The same service costs 3.9 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
$110
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.