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 $331.13 Median $416.87 Typical High $1,348.96 | Facility | None | $331.13 | $416.87 | $1,348.96 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $398.11 | Professional | None | $331.13 | $331.13 | $398.11 |
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 $218.78 Median $478.63 Typical High $1,318.26 | Professional | None | $218.78 | $478.63 | $1,318.26 |
CDPHP Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | None | $436.52 | $436.52 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,122.02 Typical High $3,235.94 | Facility | None | $562.34 | $1,122.02 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $812.83 Typical High $3,162.28 | Professional | None | $295.12 | $812.83 | $3,162.28 |
Emblem Health Setting Facility Modifier None Typical Low $776.25 Median $1,318.26 Typical High $2,951.21 | Facility | None | $776.25 | $1,318.26 | $2,951.21 |
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 $870.96 | Facility | None | $13.80 | $257.04 | $870.96 |
MVP Health Care Setting Professional Modifier None Typical Low $354.81 Median $363.08 Typical High $912.01 | Professional | None | $354.81 | $363.08 | $912.01 |
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 $186.21 Median $398.11 Typical High $851.14 | Professional | None | $186.21 | $398.11 | $851.14 |
Univera Setting Facility Modifier None Typical Low $537.03 Median $851.14 Typical High $1,380.38 | Facility | None | $537.03 | $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 $165.96 Median $165.96 Typical High $186.21 | Professional | 52 · Reduced service | $165.96 | $165.96 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $74.13 | Professional | 53 · Discontinued | $66.07 | $66.07 | $74.13 |
Where New York sits
The same service costs 5.2 times more in North Dakota 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· 37th of 51
$525
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.