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 $660.69 Typical High $2,570.40 | Facility | None | $323.59 | $660.69 | $2,570.40 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $707.95 | Professional | None | $323.59 | $323.59 | $707.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $2,187.76 | Facility | None | $831.76 | $831.76 | $2,187.76 |
Anthem BCBS Setting Professional Modifier None Typical Low $338.84 Median $707.95 Typical High $1,698.24 | Professional | None | $338.84 | $707.95 | $1,698.24 |
CDPHP Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $1,778.28 Typical High $2,398.83 | Facility | None | $812.83 | $1,778.28 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $1,023.29 Typical High $4,073.80 | Professional | None | $512.86 | $1,023.29 | $4,073.80 |
Emblem Health Setting Facility Modifier None Typical Low $131.83 Median $831.76 Typical High $1,905.46 | Facility | None | $131.83 | $831.76 | $1,905.46 |
Emblem Health Setting Professional Modifier None Typical Low $501.19 Median $588.84 Typical High $1,230.27 | Professional | None | $501.19 | $588.84 | $1,230.27 |
Excellus BCBS Setting Professional Modifier None Typical Low $537.03 Median $831.76 Typical High $977.24 | Professional | None | $537.03 | $831.76 | $977.24 |
Highmark BCBS Setting Facility Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Facility | None | $3,801.89 | $3,801.89 | $3,801.89 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $1,698.24 | Facility | None | $13.80 | $257.04 | $1,698.24 |
MVP Health Care Setting Professional Modifier None Typical Low $263.03 Median $630.96 Typical High $1,737.80 | Professional | None | $263.03 | $630.96 | $1,737.80 |
United Setting Facility Modifier None Typical Low $758.58 Median $831.76 Typical High $1,047.13 | Facility | None | $758.58 | $831.76 | $1,047.13 |
United Setting Professional Modifier None Typical Low $338.84 Median $407.38 Typical High $1,288.25 | Professional | None | $338.84 | $407.38 | $1,288.25 |
Univera Setting Facility Modifier None Typical Low $537.03 Median $707.95 Typical High $891.25 | Facility | None | $537.03 | $707.95 | $891.25 |
Univera Setting Professional Modifier None Typical Low $501.19 Median $794.33 Typical High $977.24 | Professional | None | $501.19 | $794.33 | $977.24 |
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 $354.81 | Professional | 52 · Reduced service | $162.18 | $162.18 | $354.81 |
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 5.4 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· 30th of 51
$631
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.