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 $29.51 Median $61.66 Typical High $239.88 | Facility | None | $29.51 | $61.66 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $67.61 | Professional | None | $29.51 | $29.51 | $67.61 |
Anthem BCBS Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $204.17 | Facility | None | $79.43 | $79.43 | $204.17 |
Anthem BCBS Setting Professional Modifier None Typical Low $31.62 Median $60.26 Typical High $162.18 | Professional | None | $31.62 | $60.26 | $162.18 |
CDPHP Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $165.96 Typical High $426.58 | Facility | None | $75.86 | $165.96 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $89.13 Typical High $380.19 | Professional | None | $31.62 | $89.13 | $380.19 |
Emblem Health Setting Facility Modifier None Typical Low $23.44 Median $79.43 Typical High $177.83 | Facility | None | $23.44 | $79.43 | $177.83 |
Emblem Health Setting Professional Modifier None Typical Low $37.15 Median $46.77 Typical High $151.36 | Professional | None | $37.15 | $46.77 | $151.36 |
Excellus BCBS Setting Professional Modifier None Typical Low $38.02 Median $67.61 Typical High $87.10 | Professional | None | $38.02 | $67.61 | $87.10 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $141.25 Typical High $257.04 | Facility | None | $13.80 | $141.25 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $162.18 | Professional | None | $51.29 | $51.29 | $162.18 |
United Setting Facility Modifier None Typical Low $70.79 Median $79.43 Typical High $97.72 | Facility | None | $70.79 | $79.43 | $97.72 |
United Setting Professional Modifier None Typical Low $33.11 Median $38.02 Typical High $114.82 | Professional | None | $33.11 | $38.02 | $114.82 |
Univera Setting Facility Modifier None Typical Low $51.29 Median $91.20 Typical High $162.18 | Facility | None | $51.29 | $91.20 | $162.18 |
Univera Setting Professional Modifier None Typical Low $41.69 Median $67.61 Typical High $89.13 | Professional | None | $41.69 | $67.61 | $89.13 |
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 $14.79 Median $14.79 Typical High $33.11 | Professional | 52 · Reduced service | $14.79 | $14.79 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $5.89 Typical High $13.49 | Professional | 53 · Discontinued | $5.89 | $5.89 | $13.49 |
Where New York sits
The same service costs 4.9 times more in Alaska than in Kansas. 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
$61.66
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.