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 $1,000.00 Median $1,584.89 Typical High $3,981.07 | Facility | None | $1,000.00 | $1,584.89 | $3,981.07 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,096.48 | $1,584.89 | $1,584.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $3,311.31 | Facility | None | $1,288.25 | $1,288.25 | $3,311.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $512.86 Median $1,071.52 Typical High $2,630.27 | Professional | None | $512.86 | $1,071.52 | $2,630.27 |
CDPHP Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $2,754.23 Typical High $3,715.35 | Facility | None | $1,258.93 | $2,754.23 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $1,548.82 Typical High $6,165.95 | Professional | None | $776.25 | $1,548.82 | $6,165.95 |
Emblem Health Setting Facility Modifier None Typical Low $1,288.25 Median $2,137.96 Typical High $3,548.13 | Facility | None | $1,288.25 | $2,137.96 | $3,548.13 |
Emblem Health Setting Professional Modifier None Typical Low $758.58 Median $891.25 Typical High $1,862.09 | Professional | None | $758.58 | $891.25 | $1,862.09 |
Excellus BCBS Setting Professional Modifier None Typical Low $831.76 Median $1,288.25 Typical High $1,479.11 | Professional | None | $831.76 | $1,288.25 | $1,479.11 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $2,570.40 | Facility | None | $13.80 | $257.04 | $2,570.40 |
MVP Health Care Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $2,630.27 | Professional | None | $645.65 | $645.65 | $2,630.27 |
United Setting Facility Modifier None Typical Low $1,148.15 Median $1,288.25 Typical High $1,621.81 | Facility | None | $1,148.15 | $1,288.25 | $1,621.81 |
United Setting Professional Modifier None Typical Low $537.03 Median $616.60 Typical High $1,949.84 | Professional | None | $537.03 | $616.60 | $1,949.84 |
Univera Setting Facility Modifier None Typical Low $104.71 Median $831.76 Typical High $1,348.96 | Facility | None | $104.71 | $831.76 | $1,348.96 |
Univera Setting Professional Modifier None Typical Low $776.25 Median $1,288.25 Typical High $1,479.11 | Professional | None | $776.25 | $1,288.25 | $1,479.11 |
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 $549.54 Median $794.33 Typical High $794.33 | Professional | 52 · Reduced service | $549.54 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $316.23 Typical High $316.23 | Professional | 53 · Discontinued | $218.78 | $316.23 | $316.23 |
Where New York sits
The same service costs 4.9 times more in Alaska than in Alabama. 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
$1,096
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.