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 $1,445.44 Median $2,187.76 Typical High $8,128.31 | Facility | None | $1,445.44 | $2,187.76 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $2,238.72 | Professional | None | $1,445.44 | $1,445.44 | $2,238.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $562.34 | Professional | None | $208.93 | $208.93 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $2,570.40 Median $3,890.45 Typical High $9,549.93 | Facility | None | $2,570.40 | $3,890.45 | $9,549.93 |
Cigna Setting Professional Modifier None Typical Low $12,882.50 Median $12,882.50 Typical High $12,882.50 | Professional | None | $12,882.50 | $12,882.50 | $12,882.50 |
Emblem Health Setting Facility Modifier None Typical Low $2,630.27 Median $4,365.16 Typical High $9,549.93 | Facility | None | $2,630.27 | $4,365.16 | $9,549.93 |
Emblem Health Setting Professional Modifier None Typical Low $2,630.27 Median $3,162.28 Typical High $4,897.79 | Professional | None | $2,630.27 | $3,162.28 | $4,897.79 |
Excellus BCBS Setting Professional Modifier None Typical Low $1,819.70 Median $2,630.27 Typical High $2,951.21 | Professional | None | $1,819.70 | $2,630.27 | $2,951.21 |
MVP Health Care Setting Facility Modifier None Typical Low $2,630.27 Median $4,786.30 Typical High $13,803.84 | Facility | None | $2,630.27 | $4,786.30 | $13,803.84 |
MVP Health Care Setting Professional Modifier None Typical Low $1,737.80 Median $1,995.26 Typical High $5,495.41 | Professional | None | $1,737.80 | $1,995.26 | $5,495.41 |
United Setting Facility Modifier None Typical Low $2,398.83 Median $2,630.27 Typical High $3,311.31 | Facility | None | $2,398.83 | $2,630.27 | $3,311.31 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,288.25 Typical High $4,073.80 | Professional | None | $1,122.02 | $1,288.25 | $4,073.80 |
Univera Setting Facility Modifier None Typical Low $1,737.80 Median $2,818.38 Typical High $3,019.95 | Facility | None | $1,737.80 | $2,818.38 | $3,019.95 |
Univera Setting Professional Modifier None Typical Low $1,737.80 Median $2,630.27 Typical High $2,884.03 | Professional | None | $1,737.80 | $2,630.27 | $2,884.03 |
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 $724.44 Median $724.44 Typical High $1,122.02 | Professional | 52 · Reduced service | $724.44 | $724.44 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $288.40 Typical High $446.68 | Professional | 53 · Discontinued | $288.40 | $288.40 | $446.68 |
Where New York sits
The same service costs 33.9 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· 46th of 51
$1,585
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.