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 $53.70 Median $169.82 Typical High $346.74 | Facility | None | $53.70 | $169.82 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $346.74 Typical High $346.74 | Professional | None | $58.88 | $346.74 | $346.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $181.97 | Facility | None | $69.18 | $69.18 | $181.97 |
Anthem BCBS Setting Professional Modifier None Typical Low $27.54 Median $50.12 Typical High $134.90 | Professional | None | $27.54 | $50.12 | $134.90 |
CDPHP Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $147.91 Typical High $199.53 | Facility | None | $67.61 | $147.91 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $79.43 Typical High $338.84 | Professional | None | $40.74 | $79.43 | $338.84 |
Emblem Health Setting Facility Modifier None Typical Low $50.12 Median $81.28 Typical High $154.88 | Facility | None | $50.12 | $81.28 | $154.88 |
Emblem Health Setting Professional Modifier None Typical Low $32.36 Median $41.69 Typical High $134.90 | Professional | None | $32.36 | $41.69 | $134.90 |
Excellus BCBS Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Excellus BCBS Setting Professional Modifier None Typical Low $43.65 Median $66.07 Typical High $77.62 | Professional | None | $43.65 | $66.07 | $77.62 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $125.89 Typical High $257.04 | Facility | None | $13.80 | $125.89 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $144.54 | Professional | None | $45.71 | $45.71 | $144.54 |
United Setting Facility Modifier None Typical Low $63.10 Median $69.18 Typical High $87.10 | Facility | None | $63.10 | $69.18 | $87.10 |
United Setting Professional Modifier None Typical Low $29.51 Median $40.74 Typical High $104.71 | Professional | None | $29.51 | $40.74 | $104.71 |
Univera Setting Facility Modifier None Typical Low $44.67 Median $56.23 Typical High $74.13 | Facility | None | $44.67 | $56.23 | $74.13 |
Univera Setting Professional Modifier None Typical Low $44.67 Median $58.88 Typical High $77.62 | Professional | None | $44.67 | $58.88 | $77.62 |
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 $29.51 Median $173.78 Typical High $173.78 | Professional | 52 · Reduced service | $29.51 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $70.79 Typical High $70.79 | Professional | 53 · Discontinued | $11.75 | $70.79 | $70.79 |
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· 32nd of 51
$58.88
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.