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 $549.54 Typical High $1,778.28 | Facility | None | $436.52 | $549.54 | $1,778.28 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $524.81 | Professional | None | $436.52 | $436.52 | $524.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $3,388.44 | Facility | None | $1,318.26 | $1,318.26 | $3,388.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $288.40 Median $676.08 Typical High $1,737.80 | Professional | None | $288.40 | $676.08 | $1,737.80 |
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 $758.58 Median $1,445.44 Typical High $3,235.94 | Facility | None | $758.58 | $1,445.44 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $1,096.48 Typical High $3,162.28 | Professional | None | $398.11 | $1,096.48 | $3,162.28 |
Emblem Health Setting Facility Modifier None Typical Low $1,318.26 Median $2,137.96 Typical High $3,548.13 | Facility | None | $1,318.26 | $2,137.96 | $3,548.13 |
Emblem Health Setting Professional Modifier None Typical Low $724.44 Median $1,071.52 Typical High $2,089.30 | Professional | None | $724.44 | $1,071.52 | $2,089.30 |
Excellus BCBS Setting Professional Modifier None Typical Low $851.14 Median $1,318.26 Typical High $1,513.56 | Professional | None | $851.14 | $1,318.26 | $1,513.56 |
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 $645.65 Typical High $1,202.26 | Professional | None | $467.74 | $645.65 | $1,202.26 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,318.26 Typical High $1,621.81 | Facility | None | $1,174.90 | $1,318.26 | $1,621.81 |
United Setting Professional Modifier None Typical Low $245.47 Median $549.54 Typical High $1,023.29 | Professional | None | $245.47 | $549.54 | $1,023.29 |
Univera Setting Facility Modifier None Typical Low $33.11 Median $851.14 Typical High $1,380.38 | Facility | None | $33.11 | $851.14 | $1,380.38 |
Univera Setting Professional Modifier None Typical Low $776.25 Median $1,230.27 Typical High $1,513.56 | Professional | None | $776.25 | $1,230.27 | $1,513.56 |
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 4.0 times more in Wisconsin 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· 35th of 51
$646
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.