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 $1,862.09 Median $8,709.64 Typical High $20,892.96 | Facility | None | $1,862.09 | $8,709.64 | $20,892.96 |
CDPHP Setting Facility Modifier None Typical Low $2,290.87 Median $3,630.78 Typical High $10,964.78 | Facility | None | $2,290.87 | $3,630.78 | $10,964.78 |
CDPHP Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $19,054.61 | Professional | None | $1,000.00 | $1,000.00 | $19,054.61 |
MVP Health Care Setting Facility Modifier None Typical Low $501.19 Median $5,754.40 Typical High $16,982.44 | Facility | None | $501.19 | $5,754.40 | $16,982.44 |
MVP Health Care Setting Professional Modifier None Typical Low $23,988.33 Median $23,988.33 Typical High $31,622.78 | Professional | None | $23,988.33 | $23,988.33 | $31,622.78 |
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 $17,782.79 Median $17,782.79 Typical High $17,782.79 | Professional | GL · Free upgrade | $17,782.79 | $17,782.79 | $17,782.79 |
Where New York sits
The same service costs 120.2 times more in Massachusetts 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· 31st of 44
$12,303
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.