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 $38.90 Median $147.91 Typical High $575.44 | Facility | None | $38.90 | $147.91 | $575.44 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $162.18 | Professional | None | $38.90 | $38.90 | $162.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $489.78 | Facility | None | $190.55 | $190.55 | $489.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $75.86 Median $123.03 Typical High $371.54 | Professional | None | $75.86 | $123.03 | $371.54 |
CDPHP Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None | $190.55 | $190.55 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $407.38 Typical High $562.34 | Facility | None | $169.82 | $407.38 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $131.83 Typical High $912.01 | Professional | None | $41.69 | $131.83 | $912.01 |
Emblem Health Setting Facility Modifier None Typical Low $28.84 Median $190.55 Typical High $426.58 | Facility | None | $28.84 | $190.55 | $426.58 |
Emblem Health Setting Professional Modifier None Typical Low $75.86 Median $112.20 Typical High $371.54 | Professional | None | $75.86 | $112.20 | $371.54 |
Excellus BCBS Setting Professional Modifier None Typical Low $50.12 Median $162.18 Typical High $208.93 | Professional | None | $50.12 | $162.18 | $208.93 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $380.19 | Facility | None | $13.80 | $257.04 | $380.19 |
MVP Health Care Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $389.05 | Professional | None | $91.20 | $91.20 | $389.05 |
United Setting Facility Modifier None Typical Low $169.82 Median $190.55 Typical High $234.42 | Facility | None | $169.82 | $190.55 | $234.42 |
United Setting Professional Modifier None Typical Low $46.77 Median $85.11 Typical High $275.42 | Professional | None | $46.77 | $85.11 | $275.42 |
Univera Setting Facility Modifier None Typical Low $123.03 Median $131.83 Typical High $218.78 | Facility | None | $123.03 | $131.83 | $218.78 |
Univera Setting Professional Modifier None Typical Low $54.95 Median $131.83 Typical High $208.93 | Professional | None | $54.95 | $131.83 | $208.93 |
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 $19.50 Median $19.50 Typical High $81.28 | Professional | 52 · Reduced service | $19.50 | $19.50 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $7.76 Typical High $32.36 | Professional | 53 · Discontinued | $7.76 | $7.76 | $32.36 |
Where New York sits
The same service costs 11.2 times more in Alaska than in Alabama. 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
$123
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.