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 $1,949.84 Median $2,951.21 Typical High $10,964.78 | Facility | None | $1,949.84 | $2,951.21 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $3,090.30 | Professional | None | $1,949.84 | $1,949.84 | $3,090.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $6,918.31 | Professional | None | $1,445.44 | $1,445.44 | $6,918.31 |
Cigna Setting Facility Modifier None Typical Low $3,548.13 Median $5,248.07 Typical High $12,882.50 | Facility | None | $3,548.13 | $5,248.07 | $12,882.50 |
Cigna Setting Professional Modifier None Typical Low $17,378.01 Median $17,378.01 Typical High $17,378.01 | Professional | None | $17,378.01 | $17,378.01 | $17,378.01 |
Emblem Health Setting Facility Modifier None Typical Low $3,630.78 Median $5,888.44 Typical High $12,882.50 | Facility | None | $3,630.78 | $5,888.44 | $12,882.50 |
Emblem Health Setting Professional Modifier None Typical Low $3,801.89 Median $4,365.16 Typical High $6,606.93 | Professional | None | $3,801.89 | $4,365.16 | $6,606.93 |
Excellus BCBS Setting Professional Modifier None Typical Low $2,454.71 Median $3,630.78 Typical High $4,073.80 | Professional | None | $2,454.71 | $3,630.78 | $4,073.80 |
MVP Health Care Setting Facility Modifier None Typical Low $3,630.78 Median $6,456.54 Typical High $18,620.87 | Facility | None | $3,630.78 | $6,456.54 | $18,620.87 |
MVP Health Care Setting Professional Modifier None Typical Low $2,344.23 Median $2,691.53 Typical High $7,413.10 | Professional | None | $2,344.23 | $2,691.53 | $7,413.10 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $3,630.78 Typical High $4,466.84 | Facility | None | $3,235.94 | $3,630.78 | $4,466.84 |
United Setting Professional Modifier None Typical Low $1,513.56 Median $1,778.28 Typical High $5,495.41 | Professional | None | $1,513.56 | $1,778.28 | $5,495.41 |
Univera Setting Facility Modifier None Typical Low $2,344.23 Median $3,715.35 Typical High $4,168.69 | Facility | None | $2,344.23 | $3,715.35 | $4,168.69 |
Univera Setting Professional Modifier None Typical Low $2,344.23 Median $3,467.37 Typical High $3,981.07 | Professional | None | $2,344.23 | $3,467.37 | $3,981.07 |
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 $977.24 Median $977.24 Typical High $1,513.56 | Professional | 52 · Reduced service | $977.24 | $977.24 | $1,513.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $389.05 Typical High $616.60 | Professional | 53 · Discontinued | $389.05 | $389.05 | $616.60 |
Where New York sits
The same service costs 8.9 times more in Texas than in New Mexico. 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· 42nd of 51
$2,344
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.