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 $436.52 Median $501.19 Typical High $3,235.94 | Facility | None | $436.52 | $501.19 | $3,235.94 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $501.19 | Professional | None | $436.52 | $436.52 | $501.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $1,513.56 | Facility | None | $588.84 | $588.84 | $1,513.56 |
Anthem BCBS Setting Professional Modifier None Typical Low $288.40 Median $645.65 Typical High $1,621.81 | Professional | None | $288.40 | $645.65 | $1,621.81 |
CDPHP Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None | $588.84 | $588.84 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $1,288.25 Typical High $2,818.38 | Facility | None | $575.44 | $1,288.25 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $1,000.00 Typical High $2,137.96 | Professional | None | $436.52 | $1,000.00 | $2,137.96 |
Emblem Health Setting Facility Modifier None Typical Low $588.84 Median $954.99 Typical High $1,621.81 | Facility | None | $588.84 | $954.99 | $1,621.81 |
Emblem Health Setting Professional Modifier None Typical Low $346.74 Median $407.38 Typical High $851.14 | Professional | None | $346.74 | $407.38 | $851.14 |
Excellus BCBS Setting Professional Modifier None Typical Low $467.74 Median $549.54 Typical High $676.08 | Professional | None | $467.74 | $549.54 | $676.08 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $1,174.90 | Facility | None | $13.80 | $257.04 | $1,174.90 |
MVP Health Care Setting Professional Modifier None Typical Low $467.74 Median $602.56 Typical High $1,202.26 | Professional | None | $467.74 | $602.56 | $1,202.26 |
United Setting Facility Modifier None Typical Low $524.81 Median $588.84 Typical High $724.44 | Facility | None | $524.81 | $588.84 | $724.44 |
United Setting Professional Modifier None Typical Low $245.47 Median $354.81 Typical High $891.25 | Professional | None | $245.47 | $354.81 | $891.25 |
Univera Setting Facility Modifier None Typical Low $380.19 Median $616.60 Typical High $1,148.15 | Facility | None | $380.19 | $616.60 | $1,148.15 |
Univera Setting Professional Modifier None Typical Low $467.74 Median $549.54 Typical High $676.08 | Professional | None | $467.74 | $549.54 | $676.08 |
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 $218.78 Median $218.78 Typical High $251.19 | Professional | 52 · Reduced service | $218.78 | $218.78 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $87.10 Typical High $100.00 | Professional | 53 · Discontinued | $87.10 | $87.10 | $100.00 |
Where New York sits
The same service costs 3.2 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· 32nd of 51
$550
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.