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 $363.08 Median $426.58 Typical High $954.99 | Facility | None | $363.08 | $426.58 | $954.99 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $371.54 Typical High $478.63 | Professional | None | $363.08 | $371.54 | $478.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $323.59 Median $380.19 Typical High $467.74 | Professional | None | $323.59 | $380.19 | $467.74 |
CDPHP Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $588.84 | Professional | None | $575.44 | $575.44 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $316.23 Typical High $1,000.00 | Professional | None | $302.00 | $316.23 | $1,000.00 |
Emblem Health Setting Facility Modifier None Typical Low $154.88 Median $371.54 Typical High $1,288.25 | Facility | None | $154.88 | $371.54 | $1,288.25 |
Emblem Health Setting Professional Modifier None Typical Low $363.08 Median $501.19 Typical High $776.25 | Professional | None | $363.08 | $501.19 | $776.25 |
Excellus BCBS Setting Professional Modifier None Typical Low $316.23 Median $416.87 Typical High $512.86 | Professional | None | $316.23 | $416.87 | $512.86 |
Highmark BCBS Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
MVP Health Care Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
MVP Health Care Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $831.76 | Professional | None | $363.08 | $363.08 | $831.76 |
United Setting Professional Modifier None Typical Low $309.03 Median $407.38 Typical High $1,096.48 | Professional | None | $309.03 | $407.38 | $1,096.48 |
Univera Setting Facility Modifier None Typical Low $380.19 Median $426.58 Typical High $602.56 | Facility | None | $380.19 | $426.58 | $602.56 |
Univera Setting Professional Modifier None Typical Low $316.23 Median $363.08 Typical High $512.86 | Professional | None | $316.23 | $363.08 | $512.86 |
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 $181.97 Median $181.97 Typical High $229.09 | Professional | 52 · Reduced service | $181.97 | $181.97 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $74.13 Typical High $91.20 | Professional | 53 · Discontinued | $72.44 | $74.13 | $91.20 |
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· 50th of 51
$380
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.