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 $501.19 Median $831.76 Typical High $2,454.71 | Facility | None | $501.19 | $831.76 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $831.76 | Professional | None | $501.19 | $501.19 | $831.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $2,089.30 | Facility | None | $794.33 | $794.33 | $2,089.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $501.19 Median $741.31 Typical High $1,659.59 | Professional | None | $501.19 | $741.31 | $1,659.59 |
CDPHP Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,148.15 Typical High $2,884.03 | Facility | None | $524.81 | $1,148.15 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $954.99 Typical High $3,801.89 | Professional | None | $478.63 | $954.99 | $3,801.89 |
Emblem Health Setting Facility Modifier None Typical Low $794.33 Median $1,318.26 Typical High $2,187.76 | Facility | None | $794.33 | $1,318.26 | $2,187.76 |
Emblem Health Setting Professional Modifier None Typical Low $467.74 Median $562.34 Typical High $1,148.15 | Professional | None | $467.74 | $562.34 | $1,148.15 |
Excellus BCBS Setting Professional Modifier None Typical Low $524.81 Median $758.58 Typical High $912.01 | Professional | None | $524.81 | $758.58 | $912.01 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $758.58 Typical High $1,584.89 | Facility | None | $13.80 | $758.58 | $1,584.89 |
MVP Health Care Setting Professional Modifier None Typical Low $158.49 Median $199.53 Typical High $1,621.81 | Professional | None | $158.49 | $199.53 | $1,621.81 |
United Setting Facility Modifier None Typical Low $707.95 Median $794.33 Typical High $1,000.00 | Facility | None | $707.95 | $794.33 | $1,000.00 |
United Setting Professional Modifier None Typical Low $331.13 Median $398.11 Typical High $1,202.26 | Professional | None | $331.13 | $398.11 | $1,202.26 |
Univera Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $851.14 | Facility | None | $512.86 | $512.86 | $851.14 |
Univera Setting Professional Modifier None Typical Low $512.86 Median $758.58 Typical High $912.01 | Professional | None | $512.86 | $758.58 | $912.01 |
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 $251.19 Median $251.19 Typical High $416.87 | Professional | 52 · Reduced service | $251.19 | $251.19 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $165.96 | Professional | 53 · Discontinued | $100.00 | $100.00 | $165.96 |
Where New York sits
The same service costs 3.7 times more in Alaska than in Kentucky. 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· 33rd 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.