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 $61.66 Median $81.28 Typical High $295.12 | Facility | None | $61.66 | $81.28 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $81.28 | Professional | None | $61.66 | $61.66 | $81.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $34.67 Median $41.69 Typical High $60.26 | Professional | None | $34.67 | $41.69 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $263.03 Typical High $933.25 | Facility | None | $109.65 | $263.03 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $107.15 Typical High $239.88 | Professional | None | $54.95 | $107.15 | $239.88 |
Emblem Health Setting Facility Modifier None Typical Low $154.88 Median $204.17 Typical High $354.81 | Facility | None | $154.88 | $204.17 | $354.81 |
Emblem Health Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $158.49 | Professional | None | $91.20 | $91.20 | $158.49 |
Excellus BCBS Setting Professional Modifier None Typical Low $43.65 Median $66.07 Typical High $72.44 | Professional | None | $43.65 | $66.07 | $72.44 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $19.95 Typical High $257.04 | Facility | None | $13.80 | $19.95 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
United Setting Facility Modifier None Typical Low $75.86 Median $87.10 Typical High $107.15 | Facility | None | $75.86 | $87.10 | $107.15 |
United Setting Professional Modifier None Typical Low $38.02 Median $51.29 Typical High $75.86 | Professional | None | $38.02 | $51.29 | $75.86 |
Univera Setting Facility Modifier None Typical Low $43.65 Median $72.44 Typical High $204.17 | Facility | None | $43.65 | $72.44 | $204.17 |
Univera Setting Professional Modifier None Typical Low $42.66 Median $63.10 Typical High $72.44 | Professional | None | $42.66 | $63.10 | $72.44 |
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 $30.90 Median $30.90 Typical High $40.74 | Professional | 52 · Reduced service | $30.90 | $30.90 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $16.22 | Professional | 53 · Discontinued | $12.30 | $12.30 | $16.22 |
Where New York sits
The same service costs 9.3 times more in Alaska than in Hawaii. 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· 41st of 51
$50.12
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.