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 $1,737.80 Median $8,709.64 Typical High $15,135.61 | Facility | None | $1,737.80 | $8,709.64 | $15,135.61 |
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 (both parts) Typical Low $724.44 Median $724.44 Typical High $13,489.63 | Professional | None (both parts) | $724.44 | $724.44 | $13,489.63 |
MVP Health Care Setting Facility Modifier None Typical Low $446.68 Median $5,754.40 Typical High $16,982.44 | Facility | None | $446.68 | $5,754.40 | $16,982.44 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $14,791.08 Median $14,791.08 Typical High $20,892.96 | Professional | None (both parts) | $14,791.08 | $14,791.08 | $20,892.96 |
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 Facility Modifier TC · Technical part Typical Low $9,332.54 Median $9,332.54 Typical High $10,471.29 | Facility | TC · Technical part | $9,332.54 | $9,332.54 | $10,471.29 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $10,715.19 Median $10,715.19 Typical High $11,220.18 | Professional | GL · Free upgrade | $10,715.19 | $10,715.19 | $11,220.18 |
Where New York sits
The same service costs 123.0 times more in Texas 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· 25th of 44
$10,965
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.