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 $181.97 Median $275.42 Typical High $1,000.00 | Facility | None | $181.97 | $275.42 | $1,000.00 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $275.42 | Professional | None | $181.97 | $181.97 | $275.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $831.76 | Facility | None | $323.59 | $323.59 | $831.76 |
Anthem BCBS Setting Professional Modifier None Typical Low $158.49 Median $309.03 Typical High $758.58 | Professional | None | $158.49 | $309.03 | $758.58 |
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 $223.87 Median $467.74 Typical High $1,548.82 | Professional | None | $223.87 | $467.74 | $1,548.82 |
Emblem Health Setting Facility Modifier None Typical Low $194.98 Median $323.59 Typical High $724.44 | Facility | None | $194.98 | $323.59 | $724.44 |
Emblem Health Setting Professional Modifier None Typical Low $151.36 Median $194.98 Typical High $630.96 | Professional | None | $151.36 | $194.98 | $630.96 |
Excellus BCBS Setting Professional Modifier None Typical Low $213.80 Median $323.59 Typical High $512.86 | Professional | None | $213.80 | $323.59 | $512.86 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $323.59 Typical High $645.65 | Facility | None | $13.80 | $323.59 | $645.65 |
MVP Health Care Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $660.69 | Professional | None | $257.04 | $257.04 | $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 $134.90 Median $194.98 Typical High $489.78 | Professional | None | $134.90 | $194.98 | $489.78 |
Univera Setting Facility Modifier None Typical Low $213.80 Median $371.54 Typical High $891.25 | Facility | None | $213.80 | $371.54 | $891.25 |
Univera Setting Professional Modifier None Typical Low $213.80 Median $323.59 Typical High $512.86 | Professional | None | $213.80 | $323.59 | $512.86 |
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 $91.20 Median $91.20 Typical High $138.04 | Professional | 52 · Reduced service | $91.20 | $91.20 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $54.95 | Professional | 53 · Discontinued | $36.31 | $36.31 | $54.95 |
Where New York sits
The same service costs 5.4 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· 28th of 51
$302
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.