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 $263.03 Median $398.11 Typical High $2,089.30 | Facility | None | $263.03 | $398.11 | $2,089.30 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $398.11 | Professional | None | $263.03 | $263.03 | $398.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $380.19 | Professional | None | $107.15 | $107.15 | $380.19 |
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 $109.65 Median $109.65 Typical High $138.04 | Professional | None | $109.65 | $109.65 | $138.04 |
Emblem Health Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $97.72 | Facility | None | $60.26 | $60.26 | $97.72 |
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 $380.19 | Professional | None | $323.59 | $323.59 | $380.19 |
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 $131.83 Median $131.83 Typical High $199.53 | Professional | 52 · Reduced service | $131.83 | $131.83 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $79.43 | Professional | 53 · Discontinued | $52.48 | $52.48 | $79.43 |
Where New York sits
The same service costs 25.1 times more in Vermont than in Michigan. 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· 31st of 51
$138
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.