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 $229.09 Median $269.15 Typical High $588.84 | Facility | None | $229.09 | $269.15 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $234.42 Typical High $302.00 | Professional | None | $229.09 | $234.42 | $302.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $218.78 Median $257.04 Typical High $288.40 | Professional | None | $218.78 | $257.04 | $288.40 |
CDPHP Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $371.54 | Professional | None | $363.08 | $363.08 | $371.54 |
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 $199.53 Typical High $616.60 | Professional | None | $186.21 | $199.53 | $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 $281.84 Typical High $489.78 | Professional | None | $223.87 | $281.84 | $489.78 |
Excellus BCBS Setting Professional Modifier None Typical Low $194.98 Median $257.04 Typical High $323.59 | Professional | None | $194.98 | $257.04 | $323.59 |
Highmark BCBS Setting Professional Modifier None Typical Low $295.12 Median $416.87 Typical High $616.60 | Professional | None | $295.12 | $416.87 | $616.60 |
MVP Health Care Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
MVP Health Care Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $512.86 | Professional | None | $229.09 | $229.09 | $512.86 |
United Setting Professional Modifier None Typical Low $190.55 Median $257.04 Typical High $676.08 | Professional | None | $190.55 | $257.04 | $676.08 |
Univera Setting Facility Modifier None Typical Low $239.88 Median $269.15 Typical High $380.19 | Facility | None | $239.88 | $269.15 | $380.19 |
Univera Setting Professional Modifier None Typical Low $194.98 Median $223.87 Typical High $323.59 | Professional | None | $194.98 | $223.87 | $323.59 |
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 $114.82 Median $117.49 Typical High $144.54 | Professional | 52 · Reduced service | $114.82 | $117.49 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $46.77 Typical High $57.54 | Professional | 53 · Discontinued | $45.71 | $46.77 | $57.54 |
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· 47th 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.