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 $269.15 Median $309.03 Typical High $309.03 | Facility | None | $269.15 | $309.03 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $269.15 Typical High $309.03 | Professional | None | $223.87 | $269.15 | $309.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $147.91 Median $398.11 Typical High $776.25 | Professional | None | $147.91 | $398.11 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $67.61 Typical High $97.72 | Facility | None | $47.86 | $67.61 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $251.19 Typical High $316.23 | Professional | None | $147.91 | $251.19 | $316.23 |
Emblem Health Setting Facility Modifier None Typical Low $208.93 Median $316.23 Typical High $645.65 | Facility | None | $208.93 | $316.23 | $645.65 |
Emblem Health Setting Professional Modifier None Typical Low $144.54 Median $181.97 Typical High $588.84 | Professional | None | $144.54 | $181.97 | $588.84 |
Excellus BCBS Setting Professional Modifier None Typical Low $33.88 Median $281.84 Typical High $281.84 | Professional | None | $33.88 | $281.84 | $281.84 |
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 $645.65 Median $645.65 Typical High $645.65 | Professional | None | $645.65 | $645.65 | $645.65 |
United Setting Facility Modifier None Typical Low $104.71 Median $123.03 Typical High $151.36 | Facility | None | $104.71 | $123.03 | $151.36 |
United Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $416.87 | Professional | None | $323.59 | $323.59 | $416.87 |
Univera Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $75.86 | Facility | None | $64.57 | $64.57 | $75.86 |
Univera Setting Professional Modifier None Typical Low $33.88 Median $269.15 Typical High $281.84 | Professional | None | $33.88 | $269.15 | $281.84 |
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 $134.90 Median $134.90 Typical High $154.88 | Professional | 52 · Reduced service | $134.90 | $134.90 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $61.66 | Professional | 53 · Discontinued | $53.70 | $53.70 | $61.66 |
Where New York sits
The same service costs 7.4 times more in South Dakota than in Arkansas. 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· 6th of 51
$372
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.