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 $436.52 Median $436.52 Typical High $549.54 | Facility | None | $436.52 | $436.52 | $549.54 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $501.19 | Professional | None | $436.52 | $436.52 | $501.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $489.78 Median $562.34 Typical High $630.96 | Professional | None | $489.78 | $562.34 | $630.96 |
CDPHP Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $1,230.27 | Professional | None | $331.13 | $331.13 | $1,230.27 |
Emblem Health Setting Facility Modifier None Typical Low $204.17 Median $501.19 Typical High $1,819.70 | Facility | None | $204.17 | $501.19 | $1,819.70 |
Emblem Health Setting Professional Modifier None Typical Low $60.26 Median $549.54 Typical High $812.83 | Professional | None | $60.26 | $549.54 | $812.83 |
Excellus BCBS Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Facility | None | $12.88 | $12.88 | $12.88 |
Excellus BCBS Setting Professional Modifier None Typical Low $60.26 Median $407.38 Typical High $575.44 | Professional | None | $60.26 | $407.38 | $575.44 |
MVP Health Care Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
MVP Health Care Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None | $190.55 | $190.55 | $190.55 |
United Setting Facility Modifier None Typical Low $436.52 Median $501.19 Typical High $616.60 | Facility | None | $436.52 | $501.19 | $616.60 |
United Setting Professional Modifier None Typical Low $199.53 Median $354.81 Typical High $758.58 | Professional | None | $199.53 | $354.81 | $758.58 |
Univera Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $501.19 | Facility | None | $12.88 | $12.88 | $501.19 |
Univera Setting Professional Modifier None Typical Low $60.26 Median $407.38 Typical High $575.44 | Professional | None | $60.26 | $407.38 | $575.44 |
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 $218.78 Median $218.78 Typical High $245.47 | Professional | 52 · Reduced service | $218.78 | $218.78 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $87.10 Typical High $100.00 | Professional | 53 · Discontinued | $87.10 | $87.10 | $100.00 |
Where New York sits
The same service costs 4.8 times more in Nebraska than in Arkansas. 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· 32nd of 51
$513
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.