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 $257.04 Typical High $275.42 | Facility | None | $229.09 | $257.04 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $275.42 | Professional | None | $229.09 | $229.09 | $275.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $165.96 Median $194.98 Typical High $239.88 | Professional | None | $165.96 | $194.98 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $1,288.25 Typical High $1,862.09 | Facility | None | $371.54 | $1,288.25 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $194.98 Typical High $537.03 | Professional | None | $165.96 | $194.98 | $537.03 |
Emblem Health Setting Facility Modifier None Typical Low $346.74 Median $426.58 Typical High $741.31 | Facility | None | $346.74 | $426.58 | $741.31 |
Emblem Health Setting Professional Modifier None Typical Low $323.59 Median $389.05 Typical High $660.69 | Professional | None | $323.59 | $389.05 | $660.69 |
Excellus BCBS Setting Professional Modifier None Typical Low $109.65 Median $208.93 Typical High $263.03 | Professional | None | $109.65 | $208.93 | $263.03 |
MVP Health Care Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
MVP Health Care Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $104.71 | Professional | None | $60.26 | $60.26 | $104.71 |
United Setting Professional Modifier None Typical Low $173.78 Median $223.87 Typical High $489.78 | Professional | None | $173.78 | $223.87 | $489.78 |
Univera Setting Facility Modifier None Typical Low $112.20 Median $218.78 Typical High $645.65 | Facility | None | $112.20 | $218.78 | $645.65 |
Univera Setting Professional Modifier None Typical Low $109.65 Median $208.93 Typical High $263.03 | Professional | None | $109.65 | $208.93 | $263.03 |
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 $100.00 Median $100.00 Typical High $117.49 | Professional | 52 · Reduced service | $100.00 | $100.00 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $46.77 | Professional | 53 · Discontinued | $39.81 | $39.81 | $46.77 |
Where New York sits
The same service costs 67.6 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
$200
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.