How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $1,348.96 Median $1,995.26 Typical High $7,585.78 | Facility | None | $1,348.96 | $1,995.26 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $2,089.30 | Professional | None | $1,348.96 | $1,348.96 | $2,089.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $3,981.07 | Professional | None | $9.12 | $9.12 | $3,981.07 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $3,548.13 Typical High $8,912.51 | Facility | None | $2,398.83 | $3,548.13 | $8,912.51 |
Cigna Setting Professional Modifier None Typical Low $11,748.98 Median $11,748.98 Typical High $11,748.98 | Professional | None | $11,748.98 | $11,748.98 | $11,748.98 |
Emblem Health Setting Facility Modifier None Typical Low $2,454.71 Median $4,073.80 Typical High $8,912.51 | Facility | None | $2,454.71 | $4,073.80 | $8,912.51 |
Emblem Health Setting Professional Modifier None Typical Low $2,454.71 Median $2,951.21 Typical High $4,466.84 | Professional | None | $2,454.71 | $2,951.21 | $4,466.84 |
Excellus BCBS Setting Professional Modifier None Typical Low $1,621.81 Median $2,454.71 Typical High $2,754.23 | Professional | None | $1,621.81 | $2,454.71 | $2,754.23 |
MVP Health Care Setting Facility Modifier None Typical Low $2,454.71 Median $4,365.16 Typical High $12,882.50 | Facility | None | $2,454.71 | $4,365.16 | $12,882.50 |
MVP Health Care Setting Professional Modifier None Typical Low $1,584.89 Median $1,819.70 Typical High $5,011.87 | Professional | None | $1,584.89 | $1,819.70 | $5,011.87 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $2,454.71 Typical High $3,090.30 | Facility | None | $2,187.76 | $2,454.71 | $3,090.30 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,202.26 Typical High $3,715.35 | Professional | None | $1,023.29 | $1,202.26 | $3,715.35 |
Univera Setting Facility Modifier None Typical Low $1,621.81 Median $2,511.89 Typical High $2,818.38 | Facility | None | $1,621.81 | $2,511.89 | $2,818.38 |
Univera Setting Professional Modifier None Typical Low $1,621.81 Median $2,454.71 Typical High $2,691.53 | Professional | None | $1,621.81 | $2,454.71 | $2,691.53 |
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 $660.69 Median $660.69 Typical High $1,047.13 | Professional | 52 · Reduced service | $660.69 | $660.69 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $269.15 Median $269.15 Typical High $416.87 | Professional | 53 · Discontinued | $269.15 | $269.15 | $416.87 |
Where New York sits
The same service costs 8.9 times more in Alaska 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· 46th of 51
$1,479
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.