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 $144.54 Median $194.98 Typical High $660.69 | Facility | None | $144.54 | $194.98 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $204.17 | Professional | None | $100.00 | $100.00 | $204.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $478.63 | Facility | None | $186.21 | $186.21 | $478.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $128.82 Median $239.88 Typical High $426.58 | Professional | None | $128.82 | $239.88 | $426.58 |
CDPHP Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None | $186.21 | $186.21 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $467.74 Typical High $537.03 | Facility | None | $181.97 | $467.74 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $223.87 Typical High $891.25 | Professional | None | $112.20 | $223.87 | $891.25 |
Emblem Health Setting Facility Modifier None Typical Low $186.21 Median $398.11 Typical High $645.65 | Facility | None | $186.21 | $398.11 | $645.65 |
Emblem Health Setting Professional Modifier None Typical Low $128.82 Median $158.49 Typical High $269.15 | Professional | None | $128.82 | $158.49 | $269.15 |
Excellus BCBS Setting Professional Modifier None Typical Low $147.91 Median $177.83 Typical High $213.80 | Professional | None | $147.91 | $177.83 | $213.80 |
Highmark BCBS Setting Facility Modifier None Typical Low $162.18 Median $190.55 Typical High $2,089.30 | Facility | None | $162.18 | $190.55 | $2,089.30 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $371.54 | Facility | None | $13.80 | $257.04 | $371.54 |
MVP Health Care Setting Professional Modifier None Typical Low $120.23 Median $194.98 Typical High $380.19 | Professional | None | $120.23 | $194.98 | $380.19 |
United Setting Facility Modifier None Typical Low $165.96 Median $186.21 Typical High $229.09 | Facility | None | $165.96 | $186.21 | $229.09 |
United Setting Professional Modifier None Typical Low $77.62 Median $91.20 Typical High $281.84 | Professional | None | $77.62 | $91.20 | $281.84 |
Univera Setting Facility Modifier None Typical Low $19.05 Median $120.23 Typical High $933.25 | Facility | None | $19.05 | $120.23 | $933.25 |
Univera Setting Professional Modifier None Typical Low $147.91 Median $177.83 Typical High $213.80 | Professional | None | $147.91 | $177.83 | $213.80 |
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 $79.43 | Professional | 52 · Reduced service | $50.12 | $50.12 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $31.62 | Professional | 53 · Discontinued | $19.95 | $19.95 | $31.62 |
Where New York sits
The same service costs 3.7 times more in Alaska than in Kentucky. 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· 29th 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.