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 $134.90 Median $165.96 Typical High $1,000.00 | Facility | None | $134.90 | $165.96 | $1,000.00 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $169.82 | Professional | None | $134.90 | $134.90 | $169.82 |
Ambetter Setting Professional Modifier None Typical Low $97.72 Median $125.89 Typical High $169.82 | Professional | None | $97.72 | $125.89 | $169.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $208.93 Median $251.19 Typical High $295.12 | Professional | None | $208.93 | $251.19 | $295.12 |
CDPHP Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None | $426.58 | $426.58 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $257.04 Typical High $5,011.87 | Facility | None | $208.93 | $257.04 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $154.88 Typical High $309.03 | Professional | None | $147.91 | $154.88 | $309.03 |
Emblem Health Setting Facility Modifier None Typical Low $158.49 Median $218.78 Typical High $524.81 | Facility | None | $158.49 | $218.78 | $524.81 |
Emblem Health Setting Professional Modifier None Typical Low $125.89 Median $158.49 Typical High $275.42 | Professional | None | $125.89 | $158.49 | $275.42 |
Excellus BCBS Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Excellus BCBS Setting Professional Modifier None Typical Low $93.33 Median $125.89 Typical High $190.55 | Professional | None | $93.33 | $125.89 | $190.55 |
Highmark BCBS Setting Facility Modifier None Typical Low $158.49 Median $478.63 Typical High $1,122.02 | Facility | None | $158.49 | $478.63 | $1,122.02 |
Highmark BCBS Setting Professional Modifier None Typical Low $154.88 Median $169.82 Typical High $263.03 | Professional | None | $154.88 | $169.82 | $263.03 |
MVP Health Care Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
MVP Health Care Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $199.53 | Professional | None | $144.54 | $144.54 | $199.53 |
United Setting Facility Modifier None Typical Low $660.69 Median $776.25 Typical High $954.99 | Facility | None | $660.69 | $776.25 | $954.99 |
United Setting Professional Modifier None Typical Low $95.50 Median $141.25 Typical High $208.93 | Professional | None | $95.50 | $141.25 | $208.93 |
Univera Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $162.18 | Facility | None | $35.48 | $35.48 | $162.18 |
Univera Setting Professional Modifier None Typical Low $93.33 Median $125.89 Typical High $162.18 | Professional | None | $93.33 | $125.89 | $162.18 |
1 more rate 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 |
|---|---|---|---|---|---|
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $91.20 Typical High $138.04 | Professional | 53 · Discontinued | $70.79 | $91.20 | $138.04 |
Where New York sits
The same service costs 2.9 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· 12th of 51
$224
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.