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 $6,309.57 Typical High $12,302.69 | Facility | None | $1,659.59 | $6,309.57 | $12,302.69 |
CDPHP Setting Facility Modifier None Typical Low $4,265.80 Median $5,495.41 Typical High $16,595.87 | Facility | None | $4,265.80 | $5,495.41 | $16,595.87 |
CDPHP Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $2,344.23 | Professional | None | $912.01 | $912.01 | $2,344.23 |
MVP Health Care Setting Facility Modifier None Typical Low $691.83 Median $4,786.30 Typical High $8,511.38 | Facility | None | $691.83 | $4,786.30 | $8,511.38 |
MVP Health Care Setting Professional Modifier None Typical Low $2,238.72 Median $2,344.23 Typical High $4,073.80 | Professional | None | $2,238.72 | $2,344.23 | $4,073.80 |
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 $3,090.30 Median $3,090.30 Typical High $3,162.28 | Professional | GL · Free upgrade | $3,090.30 | $3,090.30 | $3,162.28 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $812.83 Median $1,096.48 Typical High $1,584.89 | Professional | 53 · Discontinued | $812.83 | $1,096.48 | $1,584.89 |
Where New York sits
The same service costs 24.5 times more in Massachusetts than in West Virginia. 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· 18th of 45
$3,631
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.