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 $100.00 Median $186.21 Typical High $457.09 | Facility | None | $100.00 | $186.21 | $457.09 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $128.82 | Professional | None | $100.00 | $100.00 | $128.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $389.05 | Facility | None | $151.36 | $151.36 | $389.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $97.72 Median $190.55 Typical High $338.84 | Professional | None | $97.72 | $190.55 | $338.84 |
CDPHP Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None | $151.36 | $151.36 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $371.54 Typical High $891.25 | Facility | None | $147.91 | $371.54 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $181.97 Typical High $724.44 | Professional | None | $91.20 | $181.97 | $724.44 |
Emblem Health Setting Facility Modifier None Typical Low $151.36 Median $269.15 Typical High $436.52 | Facility | None | $151.36 | $269.15 | $436.52 |
Emblem Health Setting Professional Modifier None Typical Low $89.13 Median $125.89 Typical High $218.78 | Professional | None | $89.13 | $125.89 | $218.78 |
Excellus BCBS Setting Professional Modifier None Typical Low $120.23 Median $141.25 Typical High $173.78 | Professional | None | $120.23 | $141.25 | $173.78 |
Highmark BCBS Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $302.00 | Facility | None | $13.80 | $257.04 | $302.00 |
MVP Health Care Setting Professional Modifier None Typical Low $97.72 Median $144.54 Typical High $309.03 | Professional | None | $97.72 | $144.54 | $309.03 |
United Setting Facility Modifier None Typical Low $134.90 Median $151.36 Typical High $186.21 | Facility | None | $134.90 | $151.36 | $186.21 |
United Setting Professional Modifier None Typical Low $63.10 Median $74.13 Typical High $229.09 | Professional | None | $63.10 | $74.13 | $229.09 |
Univera Setting Facility Modifier None Typical Low $97.72 Median $158.49 Typical High $478.63 | Facility | None | $97.72 | $158.49 | $478.63 |
Univera Setting Professional Modifier None Typical Low $120.23 Median $141.25 Typical High $173.78 | Professional | None | $120.23 | $141.25 | $173.78 |
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 $50.12 Median $50.12 Typical High $64.57 | Professional | 52 · Reduced service | $50.12 | $50.12 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $25.70 | Professional | 53 · Discontinued | $19.95 | $19.95 | $25.70 |
Where New York sits
The same service costs 5.4 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· 30th of 51
$141
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.