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 $87.10 Median $323.59 Typical High $489.78 | Facility | None | $87.10 | $323.59 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $436.52 | Professional | None | $323.59 | $323.59 | $436.52 |
Ambetter Setting Professional Modifier None Typical Low $389.05 Median $407.38 Typical High $724.44 | Professional | None | $389.05 | $407.38 | $724.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $295.12 Median $346.74 Typical High $389.05 | Professional | None | $295.12 | $346.74 | $389.05 |
CDPHP Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None | $616.60 | $616.60 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $707.95 Typical High $707.95 | Facility | None | $457.09 | $707.95 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $371.54 Typical High $741.31 | Professional | None | $323.59 | $371.54 | $741.31 |
Emblem Health Setting Facility Modifier None Typical Low $338.84 Median $478.63 Typical High $1,000.00 | Facility | None | $338.84 | $478.63 | $1,000.00 |
Emblem Health Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $758.58 | Professional | None | $524.81 | $524.81 | $758.58 |
Excellus BCBS Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Excellus BCBS Setting Professional Modifier None Typical Low $295.12 Median $407.38 Typical High $549.54 | Professional | None | $295.12 | $407.38 | $549.54 |
Highmark BCBS Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $302.00 | Professional | None | $218.78 | $218.78 | $302.00 |
MVP Health Care Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None | $199.53 | $199.53 | $199.53 |
United Setting Professional Modifier None Typical Low $309.03 Median $380.19 Typical High $562.34 | Professional | None | $309.03 | $380.19 | $562.34 |
Univera Setting Facility Modifier None Typical Low $346.74 Median $446.68 Typical High $2,570.40 | Facility | None | $346.74 | $446.68 | $2,570.40 |
Univera Setting Professional Modifier None Typical Low $281.84 Median $354.81 Typical High $549.54 | Professional | None | $281.84 | $354.81 | $549.54 |
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 $162.18 Median $162.18 Typical High $218.78 | Professional | 52 · Reduced service | $162.18 | $162.18 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $89.13 | Professional | 53 · Discontinued | $64.57 | $64.57 | $89.13 |
Where New York sits
The same service costs 2.8 times more in Alaska than in Florida. 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· 50th of 51
$347
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.