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 $26.30 Median $64.57 Typical High $77.62 | Facility | None | $26.30 | $64.57 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $77.62 | Professional | None | $64.57 | $64.57 | $77.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $58.88 Median $70.79 Typical High $81.28 | Professional | None | $58.88 | $70.79 | $81.28 |
CDPHP Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
Emblem Health Setting Facility Modifier None Typical Low $10.00 Median $302.00 Typical High $676.08 | Facility | None | $10.00 | $302.00 | $676.08 |
Emblem Health Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $524.81 | Professional | None | $331.13 | $331.13 | $524.81 |
Excellus BCBS Setting Professional Modifier None Typical Low $295.12 Median $302.00 Typical High $426.58 | Professional | None | $295.12 | $302.00 | $426.58 |
MVP Health Care Setting Professional Modifier None Typical Low $141.25 Median $199.53 Typical High $199.53 | Professional | None | $141.25 | $199.53 | $199.53 |
United Setting Professional Modifier None Typical Low $141.25 Median $204.17 Typical High $389.05 | Professional | None | $141.25 | $204.17 | $389.05 |
Univera Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $302.00 | Facility | None | $295.12 | $295.12 | $302.00 |
Univera Setting Professional Modifier None Typical Low $177.83 Median $295.12 Typical High $416.87 | Professional | None | $177.83 | $295.12 | $416.87 |
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 $38.90 | Professional | 52 · Reduced service | $32.36 | $32.36 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $15.49 | Professional | 53 · Discontinued | $12.88 | $12.88 | $15.49 |
Where New York sits
The same service costs 4.9 times more in Nebraska 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· 47th of 51
$74.13
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.