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 $245.47 Median $257.04 Typical High $331.13 | Facility | None | $245.47 | $257.04 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $245.47 Typical High $831.76 | Professional | None | $173.78 | $245.47 | $831.76 |
Anthem BCBS Setting Professional Modifier None Typical Low $141.25 Median $165.96 Typical High $186.21 | Professional | None | $141.25 | $165.96 | $186.21 |
CDPHP Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None | $229.09 | $229.09 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $257.04 Typical High $1,047.13 | Facility | None | $138.04 | $257.04 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $776.25 Typical High $776.25 | Professional | None | $302.00 | $776.25 | $776.25 |
Emblem Health Setting Facility Modifier None Typical Low $151.36 Median $251.19 Typical High $549.54 | Facility | None | $151.36 | $251.19 | $549.54 |
Emblem Health Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $245.47 | Professional | None | $165.96 | $165.96 | $245.47 |
Excellus BCBS Setting Facility Modifier None Typical Low $9.12 Median $9.12 Typical High $9.12 | Facility | None | $9.12 | $9.12 | $9.12 |
Excellus BCBS Setting Professional Modifier None Typical Low $112.20 Median $131.83 Typical High $199.53 | Professional | None | $112.20 | $131.83 | $199.53 |
Highmark BCBS Setting Facility Modifier None Typical Low $354.81 Median $537.03 Typical High $691.83 | Facility | None | $354.81 | $537.03 | $691.83 |
MVP Health Care Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
MVP Health Care Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $257.04 | Professional | None | $120.23 | $120.23 | $257.04 |
United Setting Facility Modifier None Typical Low $190.55 Median $223.87 Typical High $275.42 | Facility | None | $190.55 | $223.87 | $275.42 |
United Setting Professional Modifier None Typical Low $104.71 Median $199.53 Typical High $316.23 | Professional | None | $104.71 | $199.53 | $316.23 |
Univera Setting Facility Modifier None Typical Low $9.12 Median $9.12 Typical High $524.81 | Facility | None | $9.12 | $9.12 | $524.81 |
Univera Setting Professional Modifier None Typical Low $75.86 Median $131.83 Typical High $194.98 | Professional | None | $75.86 | $131.83 | $194.98 |
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 $75.86 Median $75.86 Typical High $89.13 | Professional | 52 · Reduced service | $75.86 | $75.86 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $35.48 | Professional | 53 · Discontinued | $30.90 | $30.90 | $35.48 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $102.33 Typical High $128.82 | Professional | 53 · Discontinued | $81.28 | $102.33 | $128.82 |
Where New York sits
The same service costs 5.0 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· 42nd of 51
$162
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.