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 $97.72 Median $151.36 Typical High $549.54 | Facility | None | $97.72 | $151.36 | $549.54 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $151.36 | Professional | None | $97.72 | $97.72 | $151.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $457.09 | Facility | None | $177.83 | $177.83 | $457.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $70.79 Median $147.91 Typical High $398.11 | Professional | None | $70.79 | $147.91 | $398.11 |
CDPHP Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $380.19 Typical High $512.86 | Facility | None | $173.78 | $380.19 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $213.80 Typical High $851.14 | Professional | None | $97.72 | $213.80 | $851.14 |
Emblem Health Setting Facility Modifier None Typical Low $177.83 Median $295.12 Typical High $489.78 | Facility | None | $177.83 | $295.12 | $489.78 |
Emblem Health Setting Professional Modifier None Typical Low $83.18 Median $107.15 Typical High $501.19 | Professional | None | $83.18 | $107.15 | $501.19 |
Excellus BCBS Setting Professional Modifier None Typical Low $112.20 Median $169.82 Typical High $204.17 | Professional | None | $112.20 | $169.82 | $204.17 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $354.81 | Facility | None | $13.80 | $257.04 | $354.81 |
MVP Health Care Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $363.08 | Professional | None | $114.82 | $114.82 | $363.08 |
United Setting Facility Modifier None Typical Low $158.49 Median $177.83 Typical High $223.87 | Facility | None | $158.49 | $177.83 | $223.87 |
United Setting Professional Modifier None Typical Low $74.13 Median $104.71 Typical High $263.03 | Professional | None | $74.13 | $104.71 | $263.03 |
Univera Setting Facility Modifier None Typical Low $114.82 Median $186.21 Typical High $251.19 | Facility | None | $114.82 | $186.21 | $251.19 |
Univera Setting Professional Modifier None Typical Low $107.15 Median $169.82 Typical High $204.17 | Professional | None | $107.15 | $169.82 | $204.17 |
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 $47.86 Median $47.86 Typical High $75.86 | Professional | 52 · Reduced service | $47.86 | $47.86 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $30.20 | Professional | 53 · Discontinued | $19.50 | $19.50 | $30.20 |
Where New York sits
The same service costs 4.4 times more in Alaska than in Oklahoma. 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
$151
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.