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 $64.57 Median $154.88 Typical High $467.74 | Facility | None | $64.57 | $154.88 | $467.74 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $77.62 Typical High $169.82 | Professional | None | $64.57 | $77.62 | $169.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $407.38 | Facility | None | $154.88 | $154.88 | $407.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $31.62 Median $107.15 Typical High $346.74 | Professional | None | $31.62 | $107.15 | $346.74 |
CDPHP Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $331.13 Typical High $446.68 | Facility | None | $151.36 | $331.13 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $758.58 | Professional | None | $83.18 | $83.18 | $758.58 |
Emblem Health Setting Facility Modifier None Typical Low $81.28 Median $154.88 Typical High $354.81 | Facility | None | $81.28 | $154.88 | $354.81 |
Emblem Health Setting Professional Modifier None Typical Low $74.13 Median $93.33 Typical High $446.68 | Professional | None | $74.13 | $93.33 | $446.68 |
Excellus BCBS Setting Professional Modifier None Typical Low $77.62 Median $134.90 Typical High $173.78 | Professional | None | $77.62 | $134.90 | $173.78 |
Highmark BCBS Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $104.71 | Facility | None | $60.26 | $60.26 | $104.71 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $281.84 Typical High $812.83 | Facility | None | $107.15 | $281.84 | $812.83 |
MVP Health Care Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $323.59 | Professional | None | $91.20 | $91.20 | $323.59 |
United Setting Facility Modifier None Typical Low $141.25 Median $154.88 Typical High $194.98 | Facility | None | $141.25 | $154.88 | $194.98 |
United Setting Professional Modifier None Typical Low $66.07 Median $75.86 Typical High $234.42 | Professional | None | $66.07 | $75.86 | $234.42 |
Univera Setting Facility Modifier None Typical Low $102.33 Median $181.97 Typical High $181.97 | Facility | None | $102.33 | $181.97 | $181.97 |
Univera Setting Professional Modifier None Typical Low $77.62 Median $131.83 Typical High $177.83 | Professional | None | $77.62 | $131.83 | $177.83 |
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 $32.36 Median $32.36 Typical High $66.07 | Professional | 52 · Reduced service | $32.36 | $32.36 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $26.92 | Professional | 53 · Discontinued | $13.18 | $13.18 | $26.92 |
Where New York sits
The same service costs 5.4 times more in Wyoming than in Georgia. 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· 37th of 51
$107
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.