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 $1,348.96 Median $4,265.80 Typical High $8,128.31 | Facility | None | $1,348.96 | $4,265.80 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $549.54 Typical High $954.99 | Professional | None | $93.33 | $549.54 | $954.99 |
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 $602.56 Median $724.44 Typical High $1,318.26 | Professional | None | $602.56 | $724.44 | $1,318.26 |
CDPHP Setting Facility Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $16,595.87 | Facility | None | $5,495.41 | $5,495.41 | $16,595.87 |
CDPHP Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $1,047.13 | Professional | None | $114.82 | $114.82 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $2,691.53 Typical High $5,370.32 | Facility | None | $100.00 | $2,691.53 | $5,370.32 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $602.56 Typical High $1,949.84 | Professional | None | $70.79 | $602.56 | $1,949.84 |
Emblem Health Setting Facility Modifier None Typical Low $81.28 Median $100.00 Typical High $295.12 | Facility | None | $81.28 | $100.00 | $295.12 |
Emblem Health Setting Professional Modifier None Typical Low $707.95 Median $812.83 Typical High $1,348.96 | Professional | None | $707.95 | $812.83 | $1,348.96 |
Excellus BCBS Setting Professional Modifier None Typical Low $426.58 Median $602.56 Typical High $977.24 | Professional | None | $426.58 | $602.56 | $977.24 |
MVP Health Care Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
MVP Health Care Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,621.81 | Professional | None | $1,071.52 | $1,071.52 | $1,621.81 |
United Setting Facility Modifier None Typical Low $549.54 Median $1,862.09 Typical High $4,897.79 | Facility | None | $549.54 | $1,862.09 | $4,897.79 |
United Setting Professional Modifier None Typical Low $66.07 Median $467.74 Typical High $1,479.11 | Professional | None | $66.07 | $467.74 | $1,479.11 |
Univera Setting Facility Modifier None Typical Low $67.61 Median $213.80 Typical High $707.95 | Facility | None | $67.61 | $213.80 | $707.95 |
Univera Setting Professional Modifier None Typical Low $426.58 Median $602.56 Typical High $891.25 | Professional | None | $426.58 | $602.56 | $891.25 |
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 $70.79 Median $416.87 Typical High $707.95 | Professional | 54 · Surgery only | $70.79 | $416.87 | $707.95 |
Where New York sits
The same service costs 7.8 times more in Alaska 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· 21st of 51
$708
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.