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 $676.08 Median $707.95 Typical High $870.96 | Facility | None | $676.08 | $707.95 | $870.96 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $870.96 | Professional | None | $707.95 | $707.95 | $870.96 |
Ambetter Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
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 $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $2,187.76 | Professional | None | $575.44 | $575.44 | $2,187.76 |
Emblem Health Setting Facility Modifier None Typical Low $204.17 Median $741.31 Typical High $2,691.53 | Facility | None | $204.17 | $741.31 | $2,691.53 |
Emblem Health Setting Professional Modifier None Typical Low $79.43 Median $831.76 Typical High $1,230.27 | Professional | None | $79.43 | $831.76 | $1,230.27 |
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 $77.62 Median $616.60 Typical High $870.96 | Professional | None | $77.62 | $616.60 | $870.96 |
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 $380.19 Median $575.44 Typical High $1,230.27 | Professional | None | $380.19 | $575.44 | $1,230.27 |
Univera Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $741.31 | Facility | None | $19.50 | $19.50 | $741.31 |
Univera Setting Professional Modifier None Typical Low $77.62 Median $616.60 Typical High $870.96 | Professional | None | $77.62 | $616.60 | $870.96 |
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 $354.81 Median $354.81 Typical High $436.52 | Professional | 52 · Reduced service | $354.81 | $354.81 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $173.78 | Professional | 53 · Discontinued | $141.25 | $141.25 | $173.78 |
Where New York sits
The same service costs 4.1 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· 49th of 51
$575
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.