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 $398.11 Median $426.58 Typical High $2,089.30 | Facility | None | $398.11 | $426.58 | $2,089.30 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $426.58 Typical High $489.78 | Professional | None | $398.11 | $426.58 | $489.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $245.47 Median $891.25 Typical High $1,737.80 | Professional | None | $245.47 | $891.25 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $851.14 Typical High $1,230.27 | Facility | None | $562.34 | $851.14 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $138.04 Typical High $1,621.81 | Professional | None | $109.65 | $138.04 | $1,621.81 |
Emblem Health Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $588.84 | Facility | None | $363.08 | $363.08 | $588.84 |
Emblem Health Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
Excellus BCBS Setting Professional Modifier None Typical Low $831.76 Median $1,122.02 Typical High $1,122.02 | Professional | None | $831.76 | $1,122.02 | $1,122.02 |
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 $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,905.46 | $1,905.46 | $1,905.46 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $1,905.46 Typical High $2,344.23 | Facility | None | $1,621.81 | $1,905.46 | $2,344.23 |
United Setting Professional Modifier None Typical Low $489.78 Median $501.19 Typical High $977.24 | Professional | None | $489.78 | $501.19 | $977.24 |
Univera Setting Professional Modifier None Typical Low $831.76 Median $1,122.02 Typical High $1,122.02 | Professional | None | $831.76 | $1,122.02 | $1,122.02 |
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 $199.53 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $199.53 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $79.43 | $85.11 | $85.11 |
Where New York sits
The same service costs 17.0 times more in Vermont than in Montana. 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· 8th of 51
$891
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.