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 $2,238.72 Typical High $3,981.07 | Facility | None | $724.44 | $2,238.72 | $3,981.07 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $776.25 Typical High $2,238.72 | Professional | None | $707.95 | $776.25 | $2,238.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $851.14 Median $870.96 Typical High $2,137.96 | Professional | None | $851.14 | $870.96 | $2,137.96 |
CDPHP Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,949.84 Typical High $2,398.83 | Facility | None | $891.25 | $1,949.84 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $1,122.02 Typical High $4,365.16 | Professional | None | $549.54 | $1,122.02 | $4,365.16 |
Emblem Health Setting Facility Modifier None Typical Low $912.01 Median $1,513.56 Typical High $2,511.89 | Facility | None | $912.01 | $1,513.56 | $2,511.89 |
Emblem Health Setting Professional Modifier None Typical Low $537.03 Median $645.65 Typical High $1,318.26 | Professional | None | $537.03 | $645.65 | $1,318.26 |
Excellus BCBS Setting Professional Modifier None Typical Low $588.84 Median $912.01 Typical High $1,047.13 | Professional | None | $588.84 | $912.01 | $1,047.13 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $1,819.70 | Facility | None | $13.80 | $257.04 | $1,819.70 |
MVP Health Care Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $1,862.09 | Professional | None | $645.65 | $645.65 | $1,862.09 |
United Setting Facility Modifier None Typical Low $831.76 Median $912.01 Typical High $1,148.15 | Facility | None | $831.76 | $912.01 | $1,148.15 |
United Setting Professional Modifier None Typical Low $380.19 Median $436.52 Typical High $1,380.38 | Professional | None | $380.19 | $436.52 | $1,380.38 |
Univera Setting Facility Modifier None Typical Low $588.84 Median $977.24 Typical High $1,202.26 | Facility | None | $588.84 | $977.24 | $1,202.26 |
Univera Setting Professional Modifier None Typical Low $575.44 Median $870.96 Typical High $1,047.13 | Professional | None | $575.44 | $870.96 | $1,047.13 |
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 $363.08 Median $363.08 Typical High $389.05 | Professional | 52 · Reduced service | $363.08 | $363.08 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $144.54 Typical High $154.88 | Professional | 53 · Discontinued | $144.54 | $144.54 | $154.88 |
Where New York sits
The same service costs 3.7 times more in Alaska than in Maine. 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· 27th 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.