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 $181.97 Median $218.78 Typical High $478.63 | Facility | None | $181.97 | $218.78 | $478.63 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $186.21 Typical High $245.47 | Professional | None | $181.97 | $186.21 | $245.47 |
Ambetter Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None | $190.55 | $190.55 | $190.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $177.83 Median $208.93 Typical High $234.42 | Professional | None | $177.83 | $208.93 | $234.42 |
CDPHP Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $295.12 | Professional | None | $288.40 | $288.40 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $162.18 Typical High $501.19 | Professional | None | $151.36 | $162.18 | $501.19 |
Emblem Health Setting Facility Modifier None Typical Low $79.43 Median $186.21 Typical High $660.69 | Facility | None | $79.43 | $186.21 | $660.69 |
Emblem Health Setting Professional Modifier None Typical Low $181.97 Median $257.04 Typical High $398.11 | Professional | None | $181.97 | $257.04 | $398.11 |
Excellus BCBS Setting Professional Modifier None Typical Low $162.18 Median $208.93 Typical High $263.03 | Professional | None | $162.18 | $208.93 | $263.03 |
Highmark BCBS Setting Professional Modifier None Typical Low $239.88 Median $245.47 Typical High $338.84 | Professional | None | $239.88 | $245.47 | $338.84 |
MVP Health Care Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
MVP Health Care Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $426.58 | Professional | None | $186.21 | $186.21 | $426.58 |
United Setting Professional Modifier None Typical Low $154.88 Median $208.93 Typical High $549.54 | Professional | None | $154.88 | $208.93 | $549.54 |
Univera Setting Facility Modifier None Typical Low $194.98 Median $218.78 Typical High $309.03 | Facility | None | $194.98 | $218.78 | $309.03 |
Univera Setting Professional Modifier None Typical Low $162.18 Median $181.97 Typical High $263.03 | Professional | None | $162.18 | $181.97 | $263.03 |
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 $91.20 Median $93.33 Typical High $114.82 | Professional | 52 · Reduced service | $91.20 | $93.33 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $37.15 Typical High $46.77 | Professional | 53 · Discontinued | $37.15 | $37.15 | $46.77 |
Where New York sits
The same service costs 2.8 times more in Alaska 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· 46th of 51
$200
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.