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 $323.59 Median $512.86 Typical High $1,479.11 | Facility | None | $323.59 | $512.86 | $1,479.11 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $724.44 | Professional | None | $323.59 | $323.59 | $724.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $1,548.82 | Facility | None | $602.56 | $602.56 | $1,548.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $239.88 Median $616.60 Typical High $1,412.54 | Professional | None | $239.88 | $616.60 | $1,412.54 |
CDPHP Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,288.25 Typical High $3,162.28 | Facility | None | $588.84 | $1,288.25 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $724.44 Typical High $2,884.03 | Professional | None | $363.08 | $724.44 | $2,884.03 |
Emblem Health Setting Facility Modifier None Typical Low $602.56 Median $977.24 Typical High $1,659.59 | Facility | None | $602.56 | $977.24 | $1,659.59 |
Emblem Health Setting Professional Modifier None Typical Low $354.81 Median $416.87 Typical High $870.96 | Professional | None | $354.81 | $416.87 | $870.96 |
Excellus BCBS Setting Professional Modifier None Typical Low $398.11 Median $562.34 Typical High $691.83 | Professional | None | $398.11 | $562.34 | $691.83 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $2,187.76 Typical High $2,754.23 | Facility | None | $1,819.70 | $2,187.76 | $2,754.23 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $602.56 Typical High $3,090.30 | Facility | None | $13.80 | $602.56 | $3,090.30 |
MVP Health Care Setting Professional Modifier None Typical Low $389.05 Median $645.65 Typical High $1,230.27 | Professional | None | $389.05 | $645.65 | $1,230.27 |
United Setting Facility Modifier None Typical Low $537.03 Median $602.56 Typical High $741.31 | Facility | None | $537.03 | $602.56 | $741.31 |
United Setting Professional Modifier None Typical Low $239.88 Median $281.84 Typical High $912.01 | Professional | None | $239.88 | $281.84 | $912.01 |
Univera Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $630.96 | Facility | None | $389.05 | $389.05 | $630.96 |
Univera Setting Professional Modifier None Typical Low $398.11 Median $562.34 Typical High $676.08 | Professional | None | $398.11 | $562.34 | $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 $162.18 Median $162.18 Typical High $363.08 | Professional | 52 · Reduced service | $162.18 | $162.18 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $144.54 | Professional | 53 · Discontinued | $64.57 | $64.57 | $144.54 |
Where New York sits
The same service costs 5.0 times more in Alaska than in West Virginia. 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· 31st of 51
$513
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.