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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Facility Modifier None Typical Low $1,659.59 Median $7,413.10 Typical High $14,454.40 | Facility | None | $1,659.59 | $7,413.10 | $14,454.40 |
CDPHP Setting Facility Modifier None Typical Low $1,905.46 Median $2,951.21 Typical High $8,912.51 | Facility | None | $1,905.46 | $2,951.21 | $8,912.51 |
CDPHP Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $4,786.30 | Professional | None | $616.60 | $616.60 | $4,786.30 |
MVP Health Care Setting Facility Modifier None Typical Low $398.11 Median $5,754.40 Typical High $16,982.44 | Facility | None | $398.11 | $5,754.40 | $16,982.44 |
MVP Health Care Setting Professional Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $8,128.31 | Professional | None | $4,168.69 | $4,168.69 | $8,128.31 |
1 more rate 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 $575.44 Median $575.44 Typical High $575.44 | Professional | GL · Free upgrade | $575.44 | $575.44 | $575.44 |
Where New York sits
The same service costs 51.3 times more in Tennessee than in Hawaii. 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· 20th of 44
$5,370
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.