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 $95.50 Median $123.03 Typical High $363.08 | Facility | None | $95.50 | $123.03 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $141.25 | Professional | None | $93.33 | $93.33 | $141.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $380.19 | Facility | None | $144.54 | $144.54 | $380.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $70.79 Median $141.25 Typical High $363.08 | Professional | None | $70.79 | $141.25 | $363.08 |
CDPHP Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None | $144.54 | $144.54 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $363.08 Typical High $1,348.96 | Facility | None | $147.91 | $363.08 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $169.82 Typical High $524.81 | Professional | None | $100.00 | $169.82 | $524.81 |
Emblem Health Setting Facility Modifier None Typical Low $50.12 Median $144.54 Typical High $323.59 | Facility | None | $50.12 | $144.54 | $323.59 |
Emblem Health Setting Professional Modifier None Typical Low $102.33 Median $123.03 Typical High $234.42 | Professional | None | $102.33 | $123.03 | $234.42 |
Excellus BCBS Setting Professional Modifier None Typical Low $123.03 Median $144.54 Typical High $204.17 | Professional | None | $123.03 | $144.54 | $204.17 |
Highmark BCBS Setting Facility Modifier None Typical Low $144.54 Median $269.15 Typical High $478.63 | Facility | None | $144.54 | $269.15 | $478.63 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $288.40 | Facility | None | $13.80 | $257.04 | $288.40 |
MVP Health Care Setting Professional Modifier None Typical Low $13.49 Median $15.14 Typical High $295.12 | Professional | None | $13.49 | $15.14 | $295.12 |
United Setting Facility Modifier None Typical Low $128.82 Median $144.54 Typical High $181.97 | Facility | None | $128.82 | $144.54 | $181.97 |
United Setting Professional Modifier None Typical Low $64.57 Median $87.10 Typical High $245.47 | Professional | None | $64.57 | $87.10 | $245.47 |
Univera Setting Facility Modifier None Typical Low $85.11 Median $158.49 Typical High $489.78 | Facility | None | $85.11 | $158.49 | $489.78 |
Univera Setting Professional Modifier None Typical Low $87.10 Median $144.54 Typical High $165.96 | Professional | None | $87.10 | $144.54 | $165.96 |
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 $46.77 Median $46.77 Typical High $61.66 | Professional | 52 · Reduced service | $46.77 | $46.77 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $24.55 | Professional | 53 · Discontinued | $18.62 | $18.62 | $24.55 |
Where New York sits
The same service costs 5.0 times more in Kansas 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· 40th of 51
$132
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.