How much rates vary
Facilitymedian $3,311 · 10th to 90th $166 to $6,457Professionalmedian $98 · 10th to 90th $39 to $182
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 $100.00 Median $3,981.07 Typical High $8,912.51 | Facility | None | $100.00 | $3,981.07 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $117.49 Typical High $165.96 | Professional | None | $38.90 | $117.49 | $165.96 |
Ambetter Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None | $72.44 | $72.44 | $72.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $3,548.13 Typical High $4,897.79 | Facility | None | $1,819.70 | $3,548.13 | $4,897.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $83.18 Median $97.72 Typical High $169.82 | Professional | None | $83.18 | $97.72 | $169.82 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $125.89 Median $147.91 Typical High $245.47 | Professional | 50 · Both sides | $125.89 | $147.91 | $245.47 |
CDPHP Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $4,073.80 | Facility | None | $1,348.96 | $1,348.96 | $4,073.80 |
CDPHP Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $177.83 | Professional | None | $51.29 | $51.29 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $95.50 Typical High $208.93 | Professional | None | $27.54 | $95.50 | $208.93 |
Emblem Health Setting Facility Modifier None Typical Low $34.67 Median $120.23 Typical High $186.21 | Facility | None | $34.67 | $120.23 | $186.21 |
Emblem Health Setting Professional Modifier None Typical Low $123.03 Median $138.04 Typical High $204.17 | Professional | None | $123.03 | $138.04 | $204.17 |
Excellus BCBS Setting Professional Modifier None Typical Low $77.62 Median $109.65 Typical High $173.78 | Professional | None | $77.62 | $109.65 | $173.78 |
Highmark BCBS Setting Facility Modifier None Typical Low $60.26 Median $676.08 Typical High $2,570.40 | Facility | None | $60.26 | $676.08 | $2,570.40 |
Highmark BCBS Setting Professional Modifier None Typical Low $32.36 Median $44.67 Typical High $74.13 | Professional | None | $32.36 | $44.67 | $74.13 |
MVP Health Care Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
MVP Health Care Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $302.00 | Professional | None | $109.65 | $109.65 | $302.00 |
United Setting Facility Modifier None Typical Low $707.95 Median $2,818.38 Typical High $4,897.79 | Facility | None | $707.95 | $2,818.38 | $4,897.79 |
United Setting Professional Modifier None Typical Low $33.11 Median $102.33 Typical High $199.53 | Professional | None | $33.11 | $102.33 | $199.53 |
Univera Setting Facility Modifier None Typical Low $25.12 Median $45.71 Typical High $416.87 | Facility | None | $25.12 | $45.71 | $416.87 |
Univera Setting Professional Modifier None Typical Low $77.62 Median $109.65 Typical High $173.78 | Professional | None | $77.62 | $109.65 | $173.78 |
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 |
|---|---|---|---|---|---|
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $112.20 Median $131.83 Typical High $131.83 | Professional | GL · Free upgrade | $112.20 | $131.83 | $131.83 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $79.43 Typical High $117.49 | Professional | 53 · Discontinued | $63.10 | $79.43 | $117.49 |
Where New York sits
The same service costs 3.4 times more in Wisconsin 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· 47th of 51
$97.72
WI $224NE $66.07
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.