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 $851.14 Median $870.96 Typical High $1,047.13 | Facility | None | $851.14 | $870.96 | $1,047.13 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $977.24 | Professional | None | $851.14 | $851.14 | $977.24 |
Ambetter Setting Professional Modifier None Typical Low $331.13 Median $1,071.52 Typical High $1,479.11 | Professional | None | $331.13 | $1,071.52 | $1,479.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,258.93 Median $1,445.44 Typical High $1,621.81 | Professional | None | $1,258.93 | $1,445.44 | $1,621.81 |
CDPHP Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,174.90 | $1,174.90 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $2,344.23 | Professional | None | $630.96 | $630.96 | $2,344.23 |
Emblem Health Setting Facility Modifier None Typical Low $204.17 Median $891.25 Typical High $3,235.94 | Facility | None | $204.17 | $891.25 | $3,235.94 |
Emblem Health Setting Professional Modifier None Typical Low $104.71 Median $977.24 Typical High $1,445.44 | Professional | None | $104.71 | $977.24 | $1,445.44 |
Excellus BCBS Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Excellus BCBS Setting Professional Modifier None Typical Low $102.33 Median $724.44 Typical High $1,023.29 | Professional | None | $102.33 | $724.44 | $1,023.29 |
Highmark BCBS Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $660.69 | Facility | None | $524.81 | $524.81 | $660.69 |
MVP Health Care Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
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 $389.05 Median $676.08 Typical High $1,412.54 | Professional | None | $389.05 | $676.08 | $1,412.54 |
Univera Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $891.25 | Facility | None | $25.12 | $25.12 | $891.25 |
Univera Setting Professional Modifier None Typical Low $102.33 Median $724.44 Typical High $1,023.29 | Professional | None | $102.33 | $724.44 | $1,023.29 |
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 $426.58 Median $426.58 Typical High $478.63 | Professional | 52 · Reduced service | $426.58 | $426.58 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $169.82 Typical High $190.55 | Professional | 53 · Discontinued | $169.82 | $169.82 | $190.55 |
Where New York sits
The same service costs 2.6 times more in Nebraska than in North Dakota. 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· 9th of 51
$1,318
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.