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 $35.48 Median $69.18 Typical High $1,047.13 | Facility | None | $35.48 | $69.18 | $1,047.13 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $69.18 | Professional | None | $35.48 | $35.48 | $69.18 |
Ambetter Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None | $295.12 | $295.12 | $295.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $112.20 Median $131.83 Typical High $151.36 | Professional | None | $112.20 | $131.83 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $537.03 | Professional | None | $61.66 | $61.66 | $537.03 |
Emblem Health Setting Facility Modifier None Typical Low $37.15 Median $275.42 Typical High $1,000.00 | Facility | None | $37.15 | $275.42 | $1,000.00 |
Emblem Health Setting Professional Modifier None Typical Low $302.00 Median $309.03 Typical High $457.09 | Professional | None | $302.00 | $309.03 | $457.09 |
Excellus BCBS Setting Professional Modifier None Typical Low $199.53 Median $239.88 Typical High $346.74 | Professional | None | $199.53 | $239.88 | $346.74 |
Highmark BCBS Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $537.03 | Facility | None | $194.98 | $194.98 | $537.03 |
MVP Health Care Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $346.74 | Professional | None | $218.78 | $218.78 | $346.74 |
United Setting Facility Modifier None Typical Low $269.15 Median $309.03 Typical High $380.19 | Facility | None | $269.15 | $309.03 | $380.19 |
United Setting Professional Modifier None Typical Low $40.74 Median $54.95 Typical High $263.03 | Professional | None | $40.74 | $54.95 | $263.03 |
Univera Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $309.03 | Facility | None | $234.42 | $234.42 | $309.03 |
Univera Setting Professional Modifier None Typical Low $134.90 Median $239.88 Typical High $309.03 | Professional | None | $134.90 | $239.88 | $309.03 |
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 $17.78 Median $17.78 Typical High $34.67 | Professional | 52 · Reduced service | $17.78 | $17.78 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.08 Typical High $13.80 | Professional | 53 · Discontinued | $7.08 | $7.08 | $13.80 |
Where New York sits
The same service costs 13.5 times more in Minnesota than in Indiana. 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· 40th of 51
$135
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.