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 $501.19 Median $758.58 Typical High $2,570.40 | Facility | None | $501.19 | $758.58 | $2,570.40 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $758.58 Typical High $891.25 | Professional | None | $501.19 | $758.58 | $891.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $512.86 Median $891.25 Typical High $1,659.59 | Professional | None | $512.86 | $891.25 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $194.98 Typical High $281.84 | Facility | None | $128.82 | $194.98 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $645.65 Typical High $4,073.80 | Professional | None | $524.81 | $645.65 | $4,073.80 |
Emblem Health Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,905.46 | Facility | None | $1,174.90 | $1,174.90 | $1,905.46 |
Emblem Health Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Professional | None | $2,238.72 | $2,238.72 | $2,238.72 |
Excellus BCBS Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
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 $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
United Setting Facility Modifier None Typical Low $338.84 Median $398.11 Typical High $489.78 | Facility | None | $338.84 | $398.11 | $489.78 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,000.00 Typical High $1,288.25 | Professional | None | $977.24 | $1,000.00 | $1,288.25 |
Univera Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
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 $251.19 Median $380.19 Typical High $380.19 | Professional | 52 · Reduced service | $251.19 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $151.36 Typical High $151.36 | Professional | 53 · Discontinued | $100.00 | $151.36 | $151.36 |
Where New York sits
The same service costs 25.1 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· 11th 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.