How much rates vary
Facilitymedian $2,512 · 10th to 90th $1,148 to $3,890Professionalmedian $1,122 · 10th to 90th $288 to $2,570
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 $794.33 Median $977.24 Typical High $5,370.32 | Facility | None | $794.33 | $977.24 | $5,370.32 |
Aetna Setting Professional Modifier None (both parts) Typical Low $776.25 Median $776.25 Typical High $2,511.89 | Professional | None (both parts) | $776.25 | $776.25 | $2,511.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $3,235.94 | Professional | None (both parts) | $288.40 | $288.40 | $3,235.94 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None (both parts) | $1,174.90 | $1,174.90 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $1,698.24 Median $3,019.95 Typical High $3,162.28 | Facility | None | $1,698.24 | $3,019.95 | $3,162.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $8,317.64 Median $8,317.64 Typical High $8,317.64 | Professional | None (both parts) | $8,317.64 | $8,317.64 | $8,317.64 |
Emblem Health Setting Facility Modifier None Typical Low $1,737.80 Median $2,884.03 Typical High $6,309.57 | Facility | None | $1,737.80 | $2,884.03 | $6,309.57 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $2,089.30 Typical High $3,235.94 | Professional | None (both parts) | $1,737.80 | $2,089.30 | $3,235.94 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,737.80 Typical High $1,949.84 | Professional | None (both parts) | $1,148.15 | $1,737.80 | $1,949.84 |
MVP Health Care Setting Facility Modifier None Typical Low $1,737.80 Median $3,162.28 Typical High $9,120.11 | Facility | None | $1,737.80 | $3,162.28 | $9,120.11 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,318.26 Typical High $2,398.83 | Professional | None (both parts) | $1,122.02 | $1,318.26 | $2,398.83 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $1,737.80 Typical High $2,187.76 | Facility | None | $1,584.89 | $1,737.80 | $2,187.76 |
United Setting Professional Modifier None (both parts) Typical Low $489.78 Median $776.25 Typical High $1,819.70 | Professional | None (both parts) | $489.78 | $776.25 | $1,819.70 |
Univera Setting Facility Modifier None Typical Low $1,148.15 Median $1,737.80 Typical High $1,995.26 | Facility | None | $1,148.15 | $1,737.80 | $1,995.26 |
Univera Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,659.59 Typical High $1,905.46 | Professional | None (both parts) | $1,148.15 | $1,659.59 | $1,905.46 |
3 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 26 · Professional part Typical Low $630.96 Median $630.96 Typical High $1,479.11 | Professional | 26 · Professional part | $630.96 | $630.96 | $1,479.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $316.23 Median $316.23 Typical High $741.31 | Professional | 52 · Reduced service | $316.23 | $316.23 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $295.12 | Professional | 53 · Discontinued | $128.82 | $128.82 | $295.12 |
Where New York sits
The same service costs 18.6 times more in Texas than in Ohio. 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· 36th of 51
$1,122
TX $8,710OH $468
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.