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 $389.05 Median $1,230.27 Typical High $2,238.72 | Facility | None | $389.05 | $1,230.27 | $2,238.72 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $426.58 Typical High $1,230.27 | Professional | None | $389.05 | $426.58 | $1,230.27 |
Anthem BCBS Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $1,318.26 | Facility | None | $501.19 | $501.19 | $1,318.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $199.53 Median $478.63 Typical High $1,202.26 | Professional | None | $199.53 | $478.63 | $1,202.26 |
CDPHP Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $1,071.52 Typical High $1,445.44 | Facility | None | $489.78 | $1,071.52 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $616.60 Typical High $2,454.71 | Professional | None | $309.03 | $616.60 | $2,454.71 |
Emblem Health Setting Facility Modifier None Typical Low $501.19 Median $831.76 Typical High $1,380.38 | Facility | None | $501.19 | $831.76 | $1,380.38 |
Emblem Health Setting Professional Modifier None Typical Low $295.12 Median $354.81 Typical High $724.44 | Professional | None | $295.12 | $354.81 | $724.44 |
Excellus BCBS Setting Professional Modifier None Typical Low $323.59 Median $501.19 Typical High $575.44 | Professional | None | $323.59 | $501.19 | $575.44 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $1,000.00 | Facility | None | $13.80 | $257.04 | $1,000.00 |
MVP Health Care Setting Professional Modifier None Typical Low $331.13 Median $645.65 Typical High $1,047.13 | Professional | None | $331.13 | $645.65 | $1,047.13 |
United Setting Facility Modifier None Typical Low $457.09 Median $501.19 Typical High $630.96 | Facility | None | $457.09 | $501.19 | $630.96 |
United Setting Professional Modifier None Typical Low $213.80 Median $239.88 Typical High $758.58 | Professional | None | $213.80 | $239.88 | $758.58 |
Univera Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $537.03 | Facility | None | $323.59 | $323.59 | $537.03 |
Univera Setting Professional Modifier None Typical Low $316.23 Median $478.63 Typical High $575.44 | Professional | None | $316.23 | $478.63 | $575.44 |
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 $138.04 Median $138.04 Typical High $213.80 | Professional | 52 · Reduced service | $138.04 | $138.04 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $85.11 | Professional | 53 · Discontinued | $54.95 | $54.95 | $85.11 |
Where New York sits
The same service costs 3.7 times more in Alaska than in Georgia. 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
$479
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.