How much rates vary
Facilitymedian $3,090 · 10th to 90th $447 to $7,244Professionalmedian $347 · 10th to 90th $174 to $646
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 $1,000.00 Median $4,265.80 Typical High $8,128.31 | Facility | None | $1,000.00 | $4,265.80 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $331.13 Typical High $660.69 | Professional | None | $173.78 | $331.13 | $660.69 |
Ambetter Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $407.38 | Professional | None | $389.05 | $389.05 | $407.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,288.25 Median $3,890.45 Typical High $7,943.28 | Facility | None | $1,288.25 | $3,890.45 | $7,943.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $309.03 Median $371.54 Typical High $707.95 | Professional | None | $309.03 | $371.54 | $707.95 |
CDPHP Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $6,165.95 | Facility | None | $2,089.30 | $2,089.30 | $6,165.95 |
CDPHP Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $575.44 | Professional | None | $269.15 | $269.15 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $1,445.44 Typical High $1,862.09 | Facility | None | $457.09 | $1,445.44 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $269.15 Typical High $660.69 | Professional | None | $114.82 | $269.15 | $660.69 |
Emblem Health Setting Facility Modifier None Typical Low $177.83 Median $229.09 Typical High $630.96 | Facility | None | $177.83 | $229.09 | $630.96 |
Emblem Health Setting Professional Modifier None Typical Low $20.42 Median $269.15 Typical High $436.52 | Professional | None | $20.42 | $269.15 | $436.52 |
Excellus BCBS Setting Professional Modifier None Typical Low $275.42 Median $338.84 Typical High $478.63 | Professional | None | $275.42 | $338.84 | $478.63 |
Highmark BCBS Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $891.25 | Facility | None | $870.96 | $870.96 | $891.25 |
Highmark BCBS Setting Professional Modifier None Typical Low $371.54 Median $436.52 Typical High $707.95 | Professional | None | $371.54 | $436.52 | $707.95 |
MVP Health Care Setting Facility Modifier None Typical Low $199.53 Median $3,235.94 Typical High $4,365.16 | Facility | None | $199.53 | $3,235.94 | $4,365.16 |
MVP Health Care Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $562.34 | Professional | None | $380.19 | $380.19 | $562.34 |
United Setting Facility Modifier None Typical Low $363.08 Median $1,318.26 Typical High $4,365.16 | Facility | None | $363.08 | $1,318.26 | $4,365.16 |
United Setting Professional Modifier None Typical Low $120.23 Median $263.03 Typical High $549.54 | Professional | None | $120.23 | $263.03 | $549.54 |
Univera Setting Facility Modifier None Typical Low $138.04 Median $371.54 Typical High $562.34 | Facility | None | $138.04 | $371.54 | $562.34 |
Univera Setting Professional Modifier None Typical Low $275.42 Median $371.54 Typical High $478.63 | Professional | None | $275.42 | $371.54 | $478.63 |
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 54 · Surgery only Typical Low $131.83 Median $251.19 Typical High $275.42 | Professional | 54 · Surgery only | $131.83 | $251.19 | $275.42 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $251.19 Typical High $295.12 | Professional | 53 · Discontinued | $204.17 | $251.19 | $295.12 |
Where New York sits
The same service costs 3.8 times more in Alaska than in Maryland. 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· 31st of 51
$363
AK $955MD $251
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.