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 $125.89 Median $269.15 Typical High $302.00 | Facility | None | $125.89 | $269.15 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $269.15 | Professional | None | $125.89 | $125.89 | $269.15 |
Ambetter Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
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 $407.38 Median $407.38 Typical High $407.38 | Professional | None | $407.38 | $407.38 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $660.69 | Professional | None | $199.53 | $199.53 | $660.69 |
Emblem Health Setting Facility Modifier None Typical Low $190.55 Median $229.09 Typical High $707.95 | Facility | None | $190.55 | $229.09 | $707.95 |
Emblem Health Setting Professional Modifier None Typical Low $63.10 Median $208.93 Typical High $316.23 | Professional | None | $63.10 | $208.93 | $316.23 |
Excellus BCBS Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
Excellus BCBS Setting Professional Modifier None Typical Low $63.10 Median $165.96 Typical High $218.78 | Professional | None | $63.10 | $165.96 | $218.78 |
Highmark BCBS Setting Facility Modifier None Typical Low $512.86 Median $1,348.96 Typical High $1,737.80 | Facility | None | $512.86 | $1,348.96 | $1,737.80 |
Highmark BCBS Setting Professional Modifier None Typical Low $489.78 Median $537.03 Typical High $831.76 | Professional | None | $489.78 | $537.03 | $831.76 |
MVP Health Care Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
MVP Health Care Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None | $363.08 | $363.08 | $363.08 |
United Setting Facility Modifier None Typical Low $758.58 Median $870.96 Typical High $1,071.52 | Facility | None | $758.58 | $870.96 | $1,071.52 |
United Setting Professional Modifier None Typical Low $144.54 Median $398.11 Typical High $1,047.13 | Professional | None | $144.54 | $398.11 | $1,047.13 |
Univera Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $602.56 | Facility | None | $19.50 | $19.50 | $602.56 |
Univera Setting Professional Modifier None Typical Low $63.10 Median $154.88 Typical High $218.78 | Professional | None | $63.10 | $154.88 | $218.78 |
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 $63.10 Median $63.10 Typical High $131.83 | Professional | 52 · Reduced service | $63.10 | $63.10 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $53.70 | Professional | 53 · Discontinued | $25.12 | $25.12 | $53.70 |
Where New York sits
The same service costs 4.2 times more in New Hampshire 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· 3rd 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.