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 $229.09 Median $263.03 Typical High $1,202.26 | Facility | None | $229.09 | $263.03 | $1,202.26 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $263.03 Typical High $501.19 | Professional | None | $229.09 | $263.03 | $501.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $199.53 | Professional | None | $42.66 | $42.66 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $67.61 Typical High $97.72 | Facility | None | $44.67 | $67.61 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $3.09 Typical High $1,288.25 | Professional | None | $2.45 | $3.09 | $1,288.25 |
Emblem Health Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $1,122.02 | Facility | None | $707.95 | $707.95 | $1,122.02 |
Emblem Health Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
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 $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
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 $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
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 $114.82 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $114.82 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $45.71 | $52.48 | $52.48 |
Where New York sits
The same service costs 93.3 times more in Hawaii than in South Dakota. 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· 39th of 51
$72.44
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.