How much rates vary
Facilitymedian $4,074 · 10th to 90th $1,096 to $10,471Professionalmedian $1,585 · 10th to 90th $174 to $3,388
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 $1,122.02 Median $3,981.07 Typical High $9,772.37 | Facility | None | $1,122.02 | $3,981.07 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $1,819.70 Typical High $2,344.23 | Professional | None | $173.78 | $1,819.70 | $2,344.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,513.56 Median $4,466.84 Typical High $10,964.78 | Facility | None | $1,513.56 | $4,466.84 | $10,964.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,445.44 Median $1,698.24 Typical High $3,388.44 | Professional | None | $1,445.44 | $1,698.24 | $3,388.44 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $2,137.96 Median $2,511.89 Typical High $5,128.61 | Professional | 50 · Both sides | $2,137.96 | $2,511.89 | $5,128.61 |
CDPHP Setting Facility Modifier None Typical Low $1,584.89 Median $2,089.30 Typical High $6,165.95 | Facility | None | $1,584.89 | $2,089.30 | $6,165.95 |
CDPHP Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $2,630.27 | Professional | None | $218.78 | $218.78 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $2,238.72 Median $5,128.61 Typical High $10,471.29 | Facility | None | $2,238.72 | $5,128.61 | $10,471.29 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $1,000.00 Typical High $4,677.35 | Professional | None | $123.03 | $1,000.00 | $4,677.35 |
Emblem Health Setting Facility Modifier None Typical Low $134.90 Median $169.82 Typical High $588.84 | Facility | None | $134.90 | $169.82 | $588.84 |
Emblem Health Setting Professional Modifier None Typical Low $1,737.80 Median $1,949.84 Typical High $3,235.94 | Professional | None | $1,737.80 | $1,949.84 | $3,235.94 |
Excellus BCBS Setting Professional Modifier None Typical Low $1,047.13 Median $1,513.56 Typical High $1,949.84 | Professional | None | $1,047.13 | $1,513.56 | $1,949.84 |
Highmark BCBS Setting Facility Modifier None Typical Low $707.95 Median $1,071.52 Typical High $13,182.57 | Facility | None | $707.95 | $1,071.52 | $13,182.57 |
MVP Health Care Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $1,819.70 | Facility | None | $295.12 | $295.12 | $1,819.70 |
MVP Health Care Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $4,365.16 | Professional | None | $1,905.46 | $1,905.46 | $4,365.16 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $3,235.94 Typical High $10,471.29 | Facility | None | $1,230.27 | $3,235.94 | $10,471.29 |
United Setting Professional Modifier None Typical Low $123.03 Median $1,047.13 Typical High $3,630.78 | Professional | None | $123.03 | $1,047.13 | $3,630.78 |
Univera Setting Facility Modifier None Typical Low $114.82 Median $354.81 Typical High $1,737.80 | Facility | None | $114.82 | $354.81 | $1,737.80 |
Univera Setting Professional Modifier None Typical Low $1,047.13 Median $1,513.56 Typical High $1,862.09 | Professional | None | $1,047.13 | $1,513.56 | $1,862.09 |
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 $1,258.93 Typical High $1,621.81 | Professional | 54 · Surgery only | $131.83 | $1,258.93 | $1,621.81 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $933.25 Median $1,258.93 Typical High $1,778.28 | Professional | 53 · Discontinued | $933.25 | $1,258.93 | $1,778.28 |
Where New York sits
The same service costs 10.0 times more in Alaska than in Nebraska. 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· 32nd of 51
$1,660
AK $3,020NE $302
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.