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 $223.87 Median $269.15 Typical High $588.84 | Facility | None | $223.87 | $269.15 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $229.09 Typical High $302.00 | Professional | None | $223.87 | $229.09 | $302.00 |
Ambetter Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $269.15 | Professional | None | $257.04 | $257.04 | $269.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $213.80 Median $251.19 Typical High $288.40 | Professional | None | $213.80 | $251.19 | $288.40 |
CDPHP Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $363.08 | Professional | None | $354.81 | $354.81 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $194.98 Typical High $616.60 | Professional | None | $186.21 | $194.98 | $616.60 |
Emblem Health Setting Facility Modifier None Typical Low $97.72 Median $229.09 Typical High $812.83 | Facility | None | $97.72 | $229.09 | $812.83 |
Emblem Health Setting Professional Modifier None Typical Low $223.87 Median $309.03 Typical High $478.63 | Professional | None | $223.87 | $309.03 | $478.63 |
Excellus BCBS Setting Professional Modifier None Typical Low $194.98 Median $223.87 Typical High $316.23 | Professional | None | $194.98 | $223.87 | $316.23 |
Highmark BCBS Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None | $295.12 | $295.12 | $295.12 |
MVP Health Care Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
MVP Health Care Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $512.86 | Professional | None | $223.87 | $223.87 | $512.86 |
United Setting Professional Modifier None Typical Low $190.55 Median $257.04 Typical High $691.83 | Professional | None | $190.55 | $257.04 | $691.83 |
Univera Setting Facility Modifier None Typical Low $234.42 Median $269.15 Typical High $371.54 | Facility | None | $234.42 | $269.15 | $371.54 |
Univera Setting Professional Modifier None Typical Low $194.98 Median $223.87 Typical High $316.23 | Professional | None | $194.98 | $223.87 | $316.23 |
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 $112.20 Median $114.82 Typical High $141.25 | Professional | 52 · Reduced service | $112.20 | $114.82 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $45.71 Typical High $56.23 | Professional | 53 · Discontinued | $44.67 | $45.71 | $56.23 |
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
$245
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.