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 $20.89 Median $75.86 Typical High $151.36 | Facility | None | $20.89 | $75.86 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $102.33 Typical High $138.04 | Professional | None | $20.89 | $102.33 | $138.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $74.13 | Professional | None | $32.36 | $32.36 | $74.13 |
CDPHP Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $67.61 Typical High $109.65 | Facility | None | $44.67 | $67.61 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $77.62 Typical High $162.18 | Professional | None | $63.10 | $77.62 | $162.18 |
Emblem Health Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $114.82 | Facility | None | $70.79 | $70.79 | $114.82 |
Excellus BCBS Setting Professional Modifier None Typical Low $33.88 Median $104.71 Typical High $104.71 | Professional | None | $33.88 | $104.71 | $104.71 |
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 $69.18 Median $323.59 Typical High $323.59 | Professional | None | $69.18 | $323.59 | $323.59 |
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 $104.71 Typical High $104.71 | Professional | None | $33.88 | $104.71 | $104.71 |
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 $10.47 Median $51.29 Typical High $51.29 | Professional | 52 · Reduced service | $10.47 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $20.42 Typical High $20.42 | Professional | 53 · Discontinued | $4.17 | $20.42 | $20.42 |
Where New York sits
The same service costs 15.8 times more in Illinois than in Colorado. 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· 42nd of 51
$45.71
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.