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 $1,584.89 Median $2,398.83 Typical High $8,912.51 | Facility | None | $1,584.89 | $2,398.83 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $2,454.71 | Professional | None | $1,584.89 | $1,584.89 | $2,454.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $6,025.60 | Professional | None | $208.93 | $208.93 | $6,025.60 |
Cigna Setting Facility Modifier None Typical Low $2,818.38 Median $4,265.80 Typical High $10,471.29 | Facility | None | $2,818.38 | $4,265.80 | $10,471.29 |
Cigna Setting Professional Modifier None Typical Low $14,125.38 Median $14,125.38 Typical High $14,125.38 | Professional | None | $14,125.38 | $14,125.38 | $14,125.38 |
Emblem Health Setting Facility Modifier None Typical Low $2,951.21 Median $4,786.30 Typical High $10,471.29 | Facility | None | $2,951.21 | $4,786.30 | $10,471.29 |
Emblem Health Setting Professional Modifier None Typical Low $2,951.21 Median $3,467.37 Typical High $5,370.32 | Professional | None | $2,951.21 | $3,467.37 | $5,370.32 |
Excellus BCBS Setting Professional Modifier None Typical Low $1,995.26 Median $2,951.21 Typical High $3,235.94 | Professional | None | $1,995.26 | $2,951.21 | $3,235.94 |
MVP Health Care Setting Facility Modifier None Typical Low $2,951.21 Median $5,248.07 Typical High $15,135.61 | Facility | None | $2,951.21 | $5,248.07 | $15,135.61 |
MVP Health Care Setting Professional Modifier None Typical Low $1,905.46 Median $2,187.76 Typical High $6,025.60 | Professional | None | $1,905.46 | $2,187.76 | $6,025.60 |
United Setting Facility Modifier None Typical Low $2,630.27 Median $2,951.21 Typical High $3,630.78 | Facility | None | $2,630.27 | $2,951.21 | $3,630.78 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $1,445.44 Typical High $4,466.84 | Professional | None | $1,230.27 | $1,445.44 | $4,466.84 |
Univera Setting Facility Modifier None Typical Low $1,905.46 Median $3,090.30 Typical High $3,388.44 | Facility | None | $1,905.46 | $3,090.30 | $3,388.44 |
Univera Setting Professional Modifier None Typical Low $1,905.46 Median $2,884.03 Typical High $3,235.94 | Professional | None | $1,905.46 | $2,884.03 | $3,235.94 |
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 $794.33 Median $794.33 Typical High $1,230.27 | Professional | 52 · Reduced service | $794.33 | $794.33 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $316.23 Typical High $501.19 | Professional | 53 · Discontinued | $316.23 | $316.23 | $501.19 |
Where New York sits
The same service costs 37.2 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· 43rd of 51
$1,905
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.