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 $407.38 Median $630.96 Typical High $2,290.87 | Facility | None | $407.38 | $630.96 | $2,290.87 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $446.68 Typical High $1,288.25 | Professional | None | $407.38 | $446.68 | $1,288.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $1,348.96 | Facility | None | $524.81 | $524.81 | $1,348.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $208.93 Median $309.03 Typical High $1,071.52 | Professional | None | $208.93 | $309.03 | $1,071.52 |
CDPHP Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None | $524.81 | $524.81 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $758.58 Typical High $1,862.09 | Facility | None | $512.86 | $758.58 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $630.96 Typical High $2,511.89 | Professional | None | $316.23 | $630.96 | $2,511.89 |
Emblem Health Setting Facility Modifier None Typical Low $524.81 Median $851.14 Typical High $1,445.44 | Facility | None | $524.81 | $851.14 | $1,445.44 |
Emblem Health Setting Professional Modifier None Typical Low $363.08 Median $436.52 Typical High $758.58 | Professional | None | $363.08 | $436.52 | $758.58 |
Excellus BCBS Setting Professional Modifier None Typical Low $338.84 Median $524.81 Typical High $602.56 | Professional | None | $338.84 | $524.81 | $602.56 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $1,047.13 | Facility | None | $13.80 | $257.04 | $1,047.13 |
MVP Health Care Setting Professional Modifier None Typical Low $158.49 Median $199.53 Typical High $1,071.52 | Professional | None | $158.49 | $199.53 | $1,071.52 |
United Setting Facility Modifier None Typical Low $467.74 Median $524.81 Typical High $645.65 | Facility | None | $467.74 | $524.81 | $645.65 |
United Setting Professional Modifier None Typical Low $218.78 Median $257.04 Typical High $794.33 | Professional | None | $218.78 | $257.04 | $794.33 |
Univera Setting Facility Modifier None Typical Low $11.75 Median $338.84 Typical High $549.54 | Facility | None | $11.75 | $338.84 | $549.54 |
Univera Setting Professional Modifier None Typical Low $338.84 Median $489.78 Typical High $602.56 | Professional | None | $338.84 | $489.78 | $602.56 |
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 $141.25 Median $141.25 Typical High $218.78 | Professional | 52 · Reduced service | $141.25 | $141.25 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $89.13 | Professional | 53 · Discontinued | $56.23 | $56.23 | $89.13 |
Where New York sits
The same service costs 8.1 times more in Texas 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· 35th of 51
$398
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.