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 $2,290.87 Median $3,388.44 Typical High $12,882.50 | Facility | None | $2,290.87 | $3,388.44 | $12,882.50 |
Aetna Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $3,548.13 | Professional | None | $2,290.87 | $2,290.87 | $3,548.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $6,309.57 | Professional | None | $208.93 | $208.93 | $6,309.57 |
Cigna Setting Facility Modifier None Typical Low $4,073.80 Median $6,165.95 Typical High $15,135.61 | Facility | None | $4,073.80 | $6,165.95 | $15,135.61 |
Cigna Setting Professional Modifier None Typical Low $19,952.62 Median $19,952.62 Typical High $19,952.62 | Professional | None | $19,952.62 | $19,952.62 | $19,952.62 |
Emblem Health Setting Facility Modifier None Typical Low $4,168.69 Median $6,918.31 Typical High $15,135.61 | Facility | None | $4,168.69 | $6,918.31 | $15,135.61 |
Emblem Health Setting Professional Modifier None Typical Low $4,168.69 Median $5,011.87 Typical High $7,762.47 | Professional | None | $4,168.69 | $5,011.87 | $7,762.47 |
Excellus BCBS Setting Professional Modifier None Typical Low $2,818.38 Median $4,168.69 Typical High $4,677.35 | Professional | None | $2,818.38 | $4,168.69 | $4,677.35 |
MVP Health Care Setting Facility Modifier None Typical Low $5,495.41 Median $7,943.28 Typical High $21,877.62 | Facility | None | $5,495.41 | $7,943.28 | $21,877.62 |
MVP Health Care Setting Professional Modifier None Typical Low $2,691.53 Median $3,162.28 Typical High $8,709.64 | Professional | None | $2,691.53 | $3,162.28 | $8,709.64 |
United Setting Facility Modifier None Typical Low $3,801.89 Median $4,168.69 Typical High $5,248.07 | Facility | None | $3,801.89 | $4,168.69 | $5,248.07 |
United Setting Professional Modifier None Typical Low $1,737.80 Median $2,041.74 Typical High $6,456.54 | Professional | None | $1,737.80 | $2,041.74 | $6,456.54 |
Univera Setting Facility Modifier None Typical Low $2,754.23 Median $4,466.84 Typical High $4,786.30 | Facility | None | $2,754.23 | $4,466.84 | $4,786.30 |
Univera Setting Professional Modifier None Typical Low $2,754.23 Median $4,168.69 Typical High $4,570.88 | Professional | None | $2,754.23 | $4,168.69 | $4,570.88 |
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 $1,148.15 Median $1,148.15 Typical High $1,778.28 | Professional | 52 · Reduced service | $1,148.15 | $1,148.15 | $1,778.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $457.09 Median $457.09 Typical High $707.95 | Professional | 53 · Discontinued | $457.09 | $457.09 | $707.95 |
Where New York sits
The same service costs 67.6 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· 43rd of 51
$2,692
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.