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 $1,862.09 Median $2,818.38 Typical High $10,471.29 | Facility | None | $1,862.09 | $2,818.38 | $10,471.29 |
Aetna Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,951.21 | Professional | None | $1,862.09 | $1,862.09 | $2,951.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $891.25 | Professional | None | $323.59 | $323.59 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $3,388.44 Median $5,011.87 Typical High $12,302.69 | Facility | None | $3,388.44 | $5,011.87 | $12,302.69 |
Cigna Setting Professional Modifier None Typical Low $16,595.87 Median $16,595.87 Typical High $16,595.87 | Professional | None | $16,595.87 | $16,595.87 | $16,595.87 |
Emblem Health Setting Facility Modifier None Typical Low $3,235.94 Median $4,466.84 Typical High $7,762.47 | Facility | None | $3,235.94 | $4,466.84 | $7,762.47 |
Emblem Health Setting Professional Modifier None Typical Low $2,398.83 Median $3,467.37 Typical High $6,309.57 | Professional | None | $2,398.83 | $3,467.37 | $6,309.57 |
Excellus BCBS Setting Professional Modifier None Typical Low $2,344.23 Median $3,467.37 Typical High $3,801.89 | Professional | None | $2,344.23 | $3,467.37 | $3,801.89 |
MVP Health Care Setting Facility Modifier None Typical Low $3,467.37 Median $6,165.95 Typical High $17,782.79 | Facility | None | $3,467.37 | $6,165.95 | $17,782.79 |
MVP Health Care Setting Professional Modifier None Typical Low $2,238.72 Median $2,570.40 Typical High $7,079.46 | Professional | None | $2,238.72 | $2,570.40 | $7,079.46 |
United Setting Professional Modifier None Typical Low $1,445.44 Median $1,698.24 Typical High $5,248.07 | Professional | None | $1,445.44 | $1,698.24 | $5,248.07 |
Univera Setting Facility Modifier None Typical Low $2,238.72 Median $3,630.78 Typical High $3,981.07 | Facility | None | $2,238.72 | $3,630.78 | $3,981.07 |
Univera Setting Professional Modifier None Typical Low $2,238.72 Median $3,388.44 Typical High $3,801.89 | Professional | None | $2,238.72 | $3,388.44 | $3,801.89 |
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 $933.25 Median $933.25 Typical High $1,445.44 | Professional | 52 · Reduced service | $933.25 | $933.25 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $371.54 Typical High $588.84 | Professional | 53 · Discontinued | $371.54 | $371.54 | $588.84 |
Where New York sits
The same service costs 35.5 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· 41st of 51
$2,042
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.