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 $724.44 Median $1,148.15 Typical High $2,884.03 | Facility | None | $724.44 | $1,148.15 | $2,884.03 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $1,148.15 Typical High $1,148.15 | Professional | None | $794.33 | $1,148.15 | $1,148.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $2,454.71 | Facility | None | $933.25 | $933.25 | $2,454.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $371.54 Median $891.25 Typical High $1,949.84 | Professional | None | $371.54 | $891.25 | $1,949.84 |
CDPHP Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $1,995.26 Typical High $2,691.53 | Facility | None | $912.01 | $1,995.26 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $1,148.15 Typical High $4,466.84 | Professional | None | $562.34 | $1,148.15 | $4,466.84 |
Emblem Health Setting Facility Modifier None Typical Low $933.25 Median $1,548.82 Typical High $2,570.40 | Facility | None | $933.25 | $1,548.82 | $2,570.40 |
Emblem Health Setting Professional Modifier None Typical Low $549.54 Median $660.69 Typical High $1,348.96 | Professional | None | $549.54 | $660.69 | $1,348.96 |
Excellus BCBS Setting Professional Modifier None Typical Low $602.56 Median $933.25 Typical High $1,071.52 | Professional | None | $602.56 | $933.25 | $1,071.52 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $1,862.09 | Facility | None | $13.80 | $257.04 | $1,862.09 |
MVP Health Care Setting Professional Modifier None Typical Low $602.56 Median $645.65 Typical High $1,949.84 | Professional | None | $602.56 | $645.65 | $1,949.84 |
United Setting Facility Modifier None Typical Low $851.14 Median $933.25 Typical High $1,174.90 | Facility | None | $851.14 | $933.25 | $1,174.90 |
United Setting Professional Modifier None Typical Low $389.05 Median $446.68 Typical High $1,412.54 | Professional | None | $389.05 | $446.68 | $1,412.54 |
Univera Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $1,000.00 | Facility | None | $602.56 | $602.56 | $1,000.00 |
Univera Setting Professional Modifier None Typical Low $588.84 Median $891.25 Typical High $1,071.52 | Professional | None | $588.84 | $891.25 | $1,071.52 |
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 $398.11 Median $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $398.11 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $229.09 Typical High $229.09 | Professional | 53 · Discontinued | $158.49 | $229.09 | $229.09 |
Where New York sits
The same service costs 3.7 times more in Alaska 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· 28th of 51
$851
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.