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 $112.20 Median $165.96 Typical High $537.03 | Facility | None | $112.20 | $165.96 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $208.93 | Professional | None | $112.20 | $112.20 | $208.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $389.05 | Facility | None | $151.36 | $151.36 | $389.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $85.11 Median $151.36 Typical High $416.87 | Professional | None | $85.11 | $151.36 | $416.87 |
CDPHP Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None | $151.36 | $151.36 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $389.05 Typical High $1,621.81 | Facility | None | $177.83 | $389.05 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $204.17 Typical High $549.54 | Professional | None | $120.23 | $204.17 | $549.54 |
Emblem Health Setting Facility Modifier None Typical Low $85.11 Median $158.49 Typical High $338.84 | Facility | None | $85.11 | $158.49 | $338.84 |
Emblem Health Setting Professional Modifier None Typical Low $100.00 Median $125.89 Typical High $218.78 | Professional | None | $100.00 | $125.89 | $218.78 |
Excellus BCBS Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Excellus BCBS Setting Professional Modifier None Typical Low $100.00 Median $141.25 Typical High $173.78 | Professional | None | $100.00 | $141.25 | $173.78 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $218.78 Typical High $302.00 | Facility | None | $13.80 | $218.78 | $302.00 |
MVP Health Care Setting Professional Modifier None Typical Low $120.23 Median $309.03 Typical High $346.74 | Professional | None | $120.23 | $309.03 | $346.74 |
United Setting Facility Modifier None Typical Low $134.90 Median $151.36 Typical High $186.21 | Facility | None | $134.90 | $151.36 | $186.21 |
United Setting Professional Modifier None Typical Low $67.61 Median $91.20 Typical High $251.19 | Professional | None | $67.61 | $91.20 | $251.19 |
Univera Setting Facility Modifier None Typical Low $89.13 Median $100.00 Typical High $416.87 | Facility | None | $89.13 | $100.00 | $416.87 |
Univera Setting Professional Modifier None Typical Low $100.00 Median $141.25 Typical High $173.78 | Professional | None | $100.00 | $141.25 | $173.78 |
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 $56.23 Median $56.23 Typical High $70.79 | Professional | 52 · Reduced service | $56.23 | $56.23 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $28.18 | Professional | 53 · Discontinued | $22.39 | $22.39 | $28.18 |
Where New York sits
The same service costs 2.9 times more in Alaska than in New Jersey. 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
$141
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.