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 |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $1,071.52 Median $4,168.69 Typical High $8,128.31 | Facility | None | $1,071.52 | $4,168.69 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $676.08 Typical High $1,000.00 | Professional | None | $186.21 | $676.08 | $1,000.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,288.25 Median $3,890.45 Typical High $7,943.28 | Facility | None | $1,288.25 | $3,890.45 | $7,943.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $562.34 Median $660.69 Typical High $1,380.38 | Professional | None | $562.34 | $660.69 | $1,380.38 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $851.14 Median $1,000.00 Typical High $2,089.30 | Professional | 50 · Both sides | $851.14 | $1,000.00 | $2,089.30 |
CDPHP Setting Facility Modifier None Typical Low $1,148.15 Median $1,348.96 Typical High $4,073.80 | Facility | None | $1,148.15 | $1,348.96 | $4,073.80 |
CDPHP Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $1,122.02 | Professional | None | $229.09 | $229.09 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $1,230.27 Typical High $2,238.72 | Facility | None | $794.33 | $1,230.27 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $676.08 Typical High $1,862.09 | Professional | None | $138.04 | $676.08 | $1,862.09 |
Emblem Health Setting Facility Modifier None Typical Low $154.88 Median $194.98 Typical High $588.84 | Facility | None | $154.88 | $194.98 | $588.84 |
Emblem Health Setting Professional Modifier None Typical Low $812.83 Median $933.25 Typical High $1,548.82 | Professional | None | $812.83 | $933.25 | $1,548.82 |
Excellus BCBS Setting Professional Modifier None Typical Low $501.19 Median $707.95 Typical High $1,148.15 | Professional | None | $501.19 | $707.95 | $1,148.15 |
MVP Health Care Setting Facility Modifier None Typical Low $812.83 Median $3,235.94 Typical High $4,365.16 | Facility | None | $812.83 | $3,235.94 | $4,365.16 |
MVP Health Care Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,862.09 | Professional | None | $912.01 | $912.01 | $1,862.09 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $2,754.23 Typical High $7,244.36 | Facility | None | $1,122.02 | $2,754.23 | $7,244.36 |
United Setting Professional Modifier None Typical Low $131.83 Median $575.44 Typical High $1,513.56 | Professional | None | $131.83 | $575.44 | $1,513.56 |
Univera Setting Facility Modifier None Typical Low $134.90 Median $549.54 Typical High $831.76 | Facility | None | $134.90 | $549.54 | $831.76 |
Univera Setting Professional Modifier None Typical Low $501.19 Median $707.95 Typical High $1,047.13 | Professional | None | $501.19 | $707.95 | $1,047.13 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $501.19 Typical High $691.83 | Professional | 54 · Surgery only | $138.04 | $501.19 | $691.83 |
Where New York sits
The same service costs 4.0 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· 41st of 51
$692
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.