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 $190.55 Median $288.40 Typical High $912.01 | Facility | None | $190.55 | $288.40 | $912.01 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $234.42 | Professional | None | $190.55 | $190.55 | $234.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $676.08 | Facility | None | $257.04 | $257.04 | $676.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $125.89 Median $257.04 Typical High $724.44 | Professional | None | $125.89 | $257.04 | $724.44 |
CDPHP Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $660.69 Typical High $2,818.38 | Facility | None | $309.03 | $660.69 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $416.87 Typical High $1,096.48 | Professional | None | $199.53 | $416.87 | $1,096.48 |
Emblem Health Setting Facility Modifier None Typical Low $257.04 Median $371.54 Typical High $707.95 | Facility | None | $257.04 | $371.54 | $707.95 |
Emblem Health Setting Professional Modifier None Typical Low $181.97 Median $218.78 Typical High $346.74 | Professional | None | $181.97 | $218.78 | $346.74 |
Excellus BCBS Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
Excellus BCBS Setting Professional Modifier None Typical Low $218.78 Median $257.04 Typical High $338.84 | Professional | None | $218.78 | $257.04 | $338.84 |
Highmark BCBS Setting Facility Modifier None Typical Low $204.17 Median $223.87 Typical High $331.13 | Facility | None | $204.17 | $223.87 | $331.13 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $323.59 Typical High $549.54 | Facility | None | $13.80 | $323.59 | $549.54 |
MVP Health Care Setting Professional Modifier None Typical Low $208.93 Median $331.13 Typical High $524.81 | Professional | None | $208.93 | $331.13 | $524.81 |
United Setting Facility Modifier None Typical Low $229.09 Median $257.04 Typical High $323.59 | Facility | None | $229.09 | $257.04 | $323.59 |
United Setting Professional Modifier None Typical Low $107.15 Median $154.88 Typical High $436.52 | Professional | None | $107.15 | $154.88 | $436.52 |
Univera Setting Facility Modifier None Typical Low $169.82 Median $257.04 Typical High $660.69 | Facility | None | $169.82 | $257.04 | $660.69 |
Univera Setting Professional Modifier None Typical Low $218.78 Median $257.04 Typical High $331.13 | Professional | None | $218.78 | $257.04 | $331.13 |
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 $95.50 Median $95.50 Typical High $114.82 | Professional | 52 · Reduced service | $95.50 | $95.50 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.02 Typical High $46.77 | Professional | 53 · Discontinued | $38.02 | $38.02 | $46.77 |
Where New York sits
The same service costs 3.7 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· 28th of 51
$257
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.