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 $181.97 Median $302.00 Typical High $407.38 | Facility | None | $181.97 | $302.00 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $263.03 | Professional | None | $181.97 | $181.97 | $263.03 |
Ambetter Setting Professional Modifier None Typical Low $138.04 Median $162.18 Typical High $169.82 | Professional | None | $138.04 | $162.18 | $169.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $165.96 Median $199.53 Typical High $223.87 | Professional | None | $165.96 | $199.53 | $223.87 |
CDPHP Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None | $275.42 | $275.42 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $1,258.93 | Facility | None | $309.03 | $309.03 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $194.98 Typical High $501.19 | Professional | None | $190.55 | $194.98 | $501.19 |
Emblem Health Setting Facility Modifier None Typical Low $190.55 Median $281.84 Typical High $1,071.52 | Facility | None | $190.55 | $281.84 | $1,071.52 |
Emblem Health Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $309.03 | Professional | None | $204.17 | $204.17 | $309.03 |
Excellus BCBS Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Excellus BCBS Setting Professional Modifier None Typical Low $138.04 Median $162.18 Typical High $251.19 | Professional | None | $138.04 | $162.18 | $251.19 |
MVP Health Care Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
MVP Health Care Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $316.23 | Professional | None | $158.49 | $158.49 | $316.23 |
United Setting Professional Modifier None Typical Low $128.82 Median $239.88 Typical High $380.19 | Professional | None | $128.82 | $239.88 | $380.19 |
Univera Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $676.08 | Facility | None | $60.26 | $60.26 | $676.08 |
Univera Setting Professional Modifier None Typical Low $138.04 Median $162.18 Typical High $234.42 | Professional | None | $138.04 | $162.18 | $234.42 |
3 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 $91.20 Median $91.20 Typical High $107.15 | Professional | 52 · Reduced service | $91.20 | $91.20 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $42.66 | Professional | 53 · Discontinued | $36.31 | $36.31 | $42.66 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $123.03 Typical High $154.88 | Professional | 53 · Discontinued | $100.00 | $123.03 | $154.88 |
Where New York sits
The same service costs 2.5 times more in Minnesota 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· 43rd of 51
$195
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.