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 $426.58 Median $467.74 Typical High $524.81 | Facility | None | $426.58 | $467.74 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $524.81 | Professional | None | $426.58 | $426.58 | $524.81 |
Ambetter Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None | $724.44 | $724.44 | $724.44 |
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 $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $1,288.25 | Professional | None | $346.74 | $346.74 | $1,288.25 |
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 $67.61 Median $549.54 Typical High $812.83 | Professional | None | $67.61 | $549.54 | $812.83 |
Excellus BCBS Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
Excellus BCBS Setting Professional Modifier None Typical Low $66.07 Median $407.38 Typical High $575.44 | Professional | None | $66.07 | $407.38 | $575.44 |
MVP Health Care Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
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 $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 $199.53 Median $363.08 Typical High $758.58 | Professional | None | $199.53 | $363.08 | $758.58 |
Univera Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $489.78 | Facility | None | $16.22 | $16.22 | $489.78 |
Univera Setting Professional Modifier None Typical Low $66.07 Median $407.38 Typical High $575.44 | Professional | None | $66.07 | $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 $213.80 Median $213.80 Typical High $263.03 | Professional | 52 · Reduced service | $213.80 | $213.80 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $104.71 | Professional | 53 · Discontinued | $85.11 | $85.11 | $104.71 |
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· 29th 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.