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 $1,047.13 Median $1,548.82 Typical High $5,888.44 | Facility | None | $1,047.13 | $1,548.82 | $5,888.44 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,621.81 | Professional | None | $1,047.13 | $1,047.13 | $1,621.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $1,348.96 | Professional | None | $501.19 | $501.19 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $1,862.09 Median $2,754.23 Typical High $6,918.31 | Facility | None | $1,862.09 | $2,754.23 | $6,918.31 |
Cigna Setting Professional Modifier None Typical Low $9,120.11 Median $9,120.11 Typical High $9,120.11 | Professional | None | $9,120.11 | $9,120.11 | $9,120.11 |
Emblem Health Setting Facility Modifier None Typical Low $1,905.46 Median $3,162.28 Typical High $5,248.07 | Facility | None | $1,905.46 | $3,162.28 | $5,248.07 |
Emblem Health Setting Professional Modifier None Typical Low $1,318.26 Median $1,737.80 Typical High $3,467.37 | Professional | None | $1,318.26 | $1,737.80 | $3,467.37 |
Excellus BCBS Setting Professional Modifier None Typical Low $1,288.25 Median $1,905.46 Typical High $2,089.30 | Professional | None | $1,288.25 | $1,905.46 | $2,089.30 |
MVP Health Care Setting Facility Modifier None Typical Low $1,905.46 Median $3,388.44 Typical High $10,000.00 | Facility | None | $1,905.46 | $3,388.44 | $10,000.00 |
MVP Health Care Setting Professional Modifier None Typical Low $1,230.27 Median $1,412.54 Typical High $3,890.45 | Professional | None | $1,230.27 | $1,412.54 | $3,890.45 |
United Setting Professional Modifier None Typical Low $794.33 Median $933.25 Typical High $2,884.03 | Professional | None | $794.33 | $933.25 | $2,884.03 |
Univera Setting Facility Modifier None Typical Low $1,258.93 Median $1,995.26 Typical High $2,187.76 | Facility | None | $1,258.93 | $1,995.26 | $2,187.76 |
Univera Setting Professional Modifier None Typical Low $1,258.93 Median $1,862.09 Typical High $2,089.30 | Professional | None | $1,258.93 | $1,862.09 | $2,089.30 |
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 $512.86 Median $512.86 Typical High $812.83 | Professional | 52 · Reduced service | $512.86 | $512.86 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $208.93 Typical High $323.59 | Professional | 53 · Discontinued | $208.93 | $208.93 | $323.59 |
Where New York sits
The same service costs 12.0 times more in Texas than in New Mexico. 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· 42nd of 51
$1,202
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.