How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $1,148.15 Median $1,737.80 Typical High $6,456.54 | Facility | None | $1,148.15 | $1,737.80 | $6,456.54 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,819.70 | Professional | None | $1,148.15 | $1,148.15 | $1,819.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $4,073.80 | Professional | None | $21.38 | $21.38 | $4,073.80 |
Cigna Setting Facility Modifier None Typical Low $2,089.30 Median $3,090.30 Typical High $7,585.78 | Facility | None | $2,089.30 | $3,090.30 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $10,232.93 Median $10,232.93 Typical High $10,232.93 | Professional | None | $10,232.93 | $10,232.93 | $10,232.93 |
Emblem Health Setting Facility Modifier None Typical Low $1,445.44 Median $2,344.23 Typical High $4,786.30 | Facility | None | $1,445.44 | $2,344.23 | $4,786.30 |
Emblem Health Setting Professional Modifier None Typical Low $1,479.11 Median $1,949.84 Typical High $3,890.45 | Professional | None | $1,479.11 | $1,949.84 | $3,890.45 |
Excellus BCBS Setting Professional Modifier None Typical Low $1,380.38 Median $2,137.96 Typical High $2,398.83 | Professional | None | $1,380.38 | $2,137.96 | $2,398.83 |
MVP Health Care Setting Facility Modifier None Typical Low $2,137.96 Median $3,801.89 Typical High $11,220.18 | Facility | None | $2,137.96 | $3,801.89 | $11,220.18 |
MVP Health Care Setting Professional Modifier None Typical Low $1,380.38 Median $1,584.89 Typical High $4,365.16 | Professional | None | $1,380.38 | $1,584.89 | $4,365.16 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,047.13 Typical High $3,235.94 | Professional | None | $891.25 | $1,047.13 | $3,235.94 |
Univera Setting Facility Modifier None Typical Low $1,380.38 Median $2,187.76 Typical High $2,454.71 | Facility | None | $1,380.38 | $2,187.76 | $2,454.71 |
Univera Setting Professional Modifier None Typical Low $1,380.38 Median $2,137.96 Typical High $2,344.23 | Professional | None | $1,380.38 | $2,137.96 | $2,344.23 |
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 $575.44 Median $575.44 Typical High $912.01 | Professional | 52 · Reduced service | $575.44 | $575.44 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $234.42 Typical High $363.08 | Professional | 53 · Discontinued | $234.42 | $234.42 | $363.08 |
Where New York sits
The same service costs 229.1 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· 44th of 51
$1,288
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.