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 $158.49 Median $223.87 Typical High $416.87 | Facility | None | $158.49 | $223.87 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $269.15 | Professional | None | $158.49 | $158.49 | $269.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $676.08 | Facility | None | $263.03 | $263.03 | $676.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $104.71 Median $275.42 Typical High $630.96 | Professional | None | $104.71 | $275.42 | $630.96 |
CDPHP Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $562.34 Typical High $758.58 | Facility | None | $257.04 | $562.34 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $363.08 Typical High $954.99 | Professional | None | $162.18 | $363.08 | $954.99 |
Emblem Health Setting Facility Modifier None Typical Low $190.55 Median $302.00 Typical High $588.84 | Facility | None | $190.55 | $302.00 | $588.84 |
Emblem Health Setting Professional Modifier None Typical Low $158.49 Median $223.87 Typical High $346.74 | Professional | None | $158.49 | $223.87 | $346.74 |
Excellus BCBS Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Excellus BCBS Setting Professional Modifier None Typical Low $158.49 Median $251.19 Typical High $288.40 | Professional | None | $158.49 | $251.19 | $288.40 |
Highmark BCBS Setting Facility Modifier None Typical Low $213.80 Median $295.12 Typical High $912.01 | Facility | None | $213.80 | $295.12 | $912.01 |
Highmark BCBS Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $524.81 | Facility | None | $13.80 | $257.04 | $524.81 |
MVP Health Care Setting Professional Modifier None Typical Low $169.82 Median $218.78 Typical High $537.03 | Professional | None | $169.82 | $218.78 | $537.03 |
United Setting Facility Modifier None Typical Low $234.42 Median $263.03 Typical High $331.13 | Facility | None | $234.42 | $263.03 | $331.13 |
United Setting Professional Modifier None Typical Low $109.65 Median $144.54 Typical High $398.11 | Professional | None | $109.65 | $144.54 | $398.11 |
Univera Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $302.00 | Facility | None | $158.49 | $158.49 | $302.00 |
Univera Setting Professional Modifier None Typical Low $158.49 Median $251.19 Typical High $288.40 | Professional | None | $158.49 | $251.19 | $288.40 |
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 $79.43 Median $79.43 Typical High $112.20 | Professional | 52 · Reduced service | $79.43 | $79.43 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $44.67 | Professional | 53 · Discontinued | $31.62 | $31.62 | $44.67 |
Where New York sits
The same service costs 4.5 times more in Alaska than in Georgia. 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· 36th of 51
$219
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.