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 $131.83 Median $162.18 Typical High $213.80 | Facility | None | $131.83 | $162.18 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $181.97 Typical High $251.19 | Professional | None | $131.83 | $181.97 | $251.19 |
Ambetter Setting Professional Modifier None Typical Low $239.88 Median $281.84 Typical High $316.23 | Professional | None | $239.88 | $281.84 | $316.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $181.97 Median $213.80 Typical High $346.74 | Professional | None | $181.97 | $213.80 | $346.74 |
CDPHP Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $389.05 | Professional | None | $275.42 | $275.42 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $218.78 Typical High $380.19 | Professional | None | $151.36 | $218.78 | $380.19 |
Emblem Health Setting Facility Modifier None Typical Low $79.43 Median $181.97 Typical High $630.96 | Facility | None | $79.43 | $181.97 | $630.96 |
Emblem Health Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $588.84 | Professional | None | $346.74 | $346.74 | $588.84 |
Excellus BCBS Setting Professional Modifier None Typical Low $131.83 Median $263.03 Typical High $323.59 | Professional | None | $131.83 | $263.03 | $323.59 |
Fidelis Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None | $199.53 | $199.53 | $199.53 |
Highmark BCBS Setting Professional Modifier None Typical Low $257.04 Median $281.84 Typical High $281.84 | Professional | None | $257.04 | $281.84 | $281.84 |
MVP Health Care Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $354.81 | Professional | None | $223.87 | $223.87 | $354.81 |
United Setting Facility Modifier None Typical Low $204.17 Median $239.88 Typical High $295.12 | Facility | None | $204.17 | $239.88 | $295.12 |
United Setting Professional Modifier None Typical Low $125.89 Median $199.53 Typical High $309.03 | Professional | None | $125.89 | $199.53 | $309.03 |
Univera Setting Facility Modifier None Typical Low $109.65 Median $181.97 Typical High $281.84 | Facility | None | $109.65 | $181.97 | $281.84 |
Univera Setting Professional Modifier None Typical Low $131.83 Median $239.88 Typical High $323.59 | Professional | None | $131.83 | $239.88 | $323.59 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $89.13 Typical High $102.33 | Professional | 52 · Reduced service | $66.07 | $89.13 | $102.33 |
Where New York sits
The same service costs 2.7 times more in Alaska than in Alabama. 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· 43rd of 51
$214
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.