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 $70.79 Median $275.42 Typical High $1,148.15 | Facility | None | $70.79 | $275.42 | $1,148.15 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $275.42 | Professional | None | $70.79 | $70.79 | $275.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $851.14 | Facility | None | $323.59 | $323.59 | $851.14 |
Anthem BCBS Setting Professional Modifier None Typical Low $128.82 Median $223.87 Typical High $630.96 | Professional | None | $128.82 | $223.87 | $630.96 |
CDPHP Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $691.83 Typical High $933.25 | Facility | None | $316.23 | $691.83 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $309.03 Typical High $1,548.82 | Professional | None | $102.33 | $309.03 | $1,548.82 |
Emblem Health Setting Facility Modifier None Typical Low $77.62 Median $323.59 Typical High $724.44 | Facility | None | $77.62 | $323.59 | $724.44 |
Emblem Health Setting Professional Modifier None Typical Low $144.54 Median $190.55 Typical High $630.96 | Professional | None | $144.54 | $190.55 | $630.96 |
Excellus BCBS Setting Professional Modifier None Typical Low $109.65 Median $275.42 Typical High $354.81 | Professional | None | $109.65 | $275.42 | $354.81 |
Highmark BCBS Setting Facility Modifier None Typical Low $501.19 Median $933.25 Typical High $1,122.02 | Facility | None | $501.19 | $933.25 | $1,122.02 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $645.65 | Facility | None | $13.80 | $257.04 | $645.65 |
MVP Health Care Setting Professional Modifier None Typical Low $131.83 Median $151.36 Typical High $660.69 | Professional | None | $131.83 | $151.36 | $660.69 |
United Setting Facility Modifier None Typical Low $288.40 Median $323.59 Typical High $407.38 | Facility | None | $288.40 | $323.59 | $407.38 |
United Setting Professional Modifier None Typical Low $104.71 Median $144.54 Typical High $478.63 | Professional | None | $104.71 | $144.54 | $478.63 |
Univera Setting Facility Modifier None Typical Low $213.80 Median $275.42 Typical High $371.54 | Facility | None | $213.80 | $275.42 | $371.54 |
Univera Setting Professional Modifier None Typical Low $109.65 Median $251.19 Typical High $354.81 | Professional | None | $109.65 | $251.19 | $354.81 |
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 $35.48 Median $35.48 Typical High $138.04 | Professional | 52 · Reduced service | $35.48 | $35.48 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $54.95 | Professional | 53 · Discontinued | $14.13 | $14.13 | $54.95 |
Where New York sits
The same service costs 7.9 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· 39th of 51
$224
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.