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 $457.09 Median $512.86 Typical High $549.54 | Facility | None | $457.09 | $512.86 | $549.54 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $549.54 | Professional | None | $457.09 | $457.09 | $549.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $331.13 Median $389.05 Typical High $478.63 | Professional | None | $331.13 | $389.05 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,288.25 Typical High $1,862.09 | Facility | None | $741.31 | $1,288.25 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $389.05 Typical High $1,071.52 | Professional | None | $331.13 | $389.05 | $1,071.52 |
Emblem Health Setting Facility Modifier None Typical Low $707.95 Median $851.14 Typical High $1,479.11 | Facility | None | $707.95 | $851.14 | $1,479.11 |
Emblem Health Setting Professional Modifier None Typical Low $645.65 Median $776.25 Typical High $1,318.26 | Professional | None | $645.65 | $776.25 | $1,318.26 |
Excellus BCBS Setting Professional Modifier None Typical Low $223.87 Median $416.87 Typical High $524.81 | Professional | None | $223.87 | $416.87 | $524.81 |
MVP Health Care Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
MVP Health Care Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $204.17 | Professional | None | $117.49 | $117.49 | $204.17 |
United Setting Professional Modifier None Typical Low $354.81 Median $446.68 Typical High $1,000.00 | Professional | None | $354.81 | $446.68 | $1,000.00 |
Univera Setting Facility Modifier None Typical Low $223.87 Median $436.52 Typical High $741.31 | Facility | None | $223.87 | $436.52 | $741.31 |
Univera Setting Professional Modifier None Typical Low $223.87 Median $416.87 Typical High $524.81 | Professional | None | $223.87 | $416.87 | $524.81 |
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 $199.53 Median $199.53 Typical High $234.42 | Professional | 52 · Reduced service | $199.53 | $199.53 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $93.33 | Professional | 53 · Discontinued | $79.43 | $79.43 | $93.33 |
Where New York sits
The same service costs 70.8 times more in Alaska than in Kentucky. 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
$398
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.