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 $2,754.23 Median $4,073.80 Typical High $15,488.17 | Facility | None | $2,754.23 | $4,073.80 | $15,488.17 |
Aetna Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $4,265.80 | Professional | None | $2,754.23 | $2,754.23 | $4,265.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $5,248.07 | Professional | None | $1,995.26 | $1,995.26 | $5,248.07 |
Cigna Setting Facility Modifier None Typical Low $4,897.79 Median $7,244.36 Typical High $18,197.01 | Facility | None | $4,897.79 | $7,244.36 | $18,197.01 |
Cigna Setting Professional Modifier None Typical Low $23,988.33 Median $23,988.33 Typical High $23,988.33 | Professional | None | $23,988.33 | $23,988.33 | $23,988.33 |
Emblem Health Setting Facility Modifier None Typical Low $2,398.83 Median $5,011.87 Typical High $11,220.18 | Facility | None | $2,398.83 | $5,011.87 | $11,220.18 |
Emblem Health Setting Professional Modifier None Typical Low $2,951.21 Median $5,011.87 Typical High $9,120.11 | Professional | None | $2,951.21 | $5,011.87 | $9,120.11 |
Excellus BCBS Setting Professional Modifier None Typical Low $3,311.31 Median $5,011.87 Typical High $5,623.41 | Professional | None | $3,311.31 | $5,011.87 | $5,623.41 |
MVP Health Care Setting Facility Modifier None Typical Low $5,011.87 Median $8,912.51 Typical High $26,302.68 | Facility | None | $5,011.87 | $8,912.51 | $26,302.68 |
MVP Health Care Setting Professional Modifier None Typical Low $3,235.94 Median $3,715.35 Typical High $10,232.93 | Professional | None | $3,235.94 | $3,715.35 | $10,232.93 |
United Setting Professional Modifier None Typical Low $2,089.30 Median $2,454.71 Typical High $7,585.78 | Professional | None | $2,089.30 | $2,454.71 | $7,585.78 |
Univera Setting Facility Modifier None Typical Low $3,311.31 Median $5,248.07 Typical High $5,754.40 | Facility | None | $3,311.31 | $5,248.07 | $5,754.40 |
Univera Setting Professional Modifier None Typical Low $3,311.31 Median $5,011.87 Typical High $5,495.41 | Professional | None | $3,311.31 | $5,011.87 | $5,495.41 |
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 $1,348.96 Median $1,348.96 Typical High $2,137.96 | Professional | 52 · Reduced service | $1,348.96 | $1,348.96 | $2,137.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $549.54 Median $549.54 Typical High $851.14 | Professional | 53 · Discontinued | $549.54 | $549.54 | $851.14 |
Where New York sits
The same service costs 12.0 times more in Texas than in Alabama. 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· 41st of 51
$3,236
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.