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 $2,818.38 Median $4,265.80 Typical High $15,848.93 | Facility | None | $2,818.38 | $4,265.80 | $15,848.93 |
Aetna Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $4,466.84 | Professional | None | $2,818.38 | $2,818.38 | $4,466.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $8,709.64 | Professional | None | $66.07 | $66.07 | $8,709.64 |
Cigna Setting Facility Modifier None Typical Low $5,128.61 Median $7,585.78 Typical High $18,620.87 | Facility | None | $5,128.61 | $7,585.78 | $18,620.87 |
Cigna Setting Professional Modifier None Typical Low $25,118.86 Median $25,118.86 Typical High $25,118.86 | Professional | None | $25,118.86 | $25,118.86 | $25,118.86 |
Emblem Health Setting Facility Modifier None Typical Low $5,248.07 Median $8,709.64 Typical High $14,454.40 | Facility | None | $5,248.07 | $8,709.64 | $14,454.40 |
Emblem Health Setting Professional Modifier None Typical Low $3,630.78 Median $4,786.30 Typical High $9,549.93 | Professional | None | $3,630.78 | $4,786.30 | $9,549.93 |
Excellus BCBS Setting Professional Modifier None Typical Low $3,467.37 Median $5,248.07 Typical High $5,888.44 | Professional | None | $3,467.37 | $5,248.07 | $5,888.44 |
MVP Health Care Setting Facility Modifier None Typical Low $5,248.07 Median $9,332.54 Typical High $27,542.29 | Facility | None | $5,248.07 | $9,332.54 | $27,542.29 |
MVP Health Care Setting Professional Modifier None Typical Low $3,388.44 Median $3,890.45 Typical High $10,715.19 | Professional | None | $3,388.44 | $3,890.45 | $10,715.19 |
United Setting Professional Modifier None Typical Low $2,187.76 Median $2,570.40 Typical High $7,943.28 | Professional | None | $2,187.76 | $2,570.40 | $7,943.28 |
Univera Setting Facility Modifier None Typical Low $3,467.37 Median $5,370.32 Typical High $6,025.60 | Facility | None | $3,467.37 | $5,370.32 | $6,025.60 |
Univera Setting Professional Modifier None Typical Low $3,467.37 Median $5,248.07 Typical High $5,754.40 | Professional | None | $3,467.37 | $5,248.07 | $5,754.40 |
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 $1,412.54 Median $1,412.54 Typical High $2,238.72 | Professional | 52 · Reduced service | $1,412.54 | $1,412.54 | $2,238.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $575.44 Median $575.44 Typical High $891.25 | Professional | 53 · Discontinued | $575.44 | $575.44 | $891.25 |
Where New York sits
The same service costs 416.9 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· 47th of 51
$3,162
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.