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 $199.53 Median $3,801.89 Typical High $8,128.31 | Facility | None | $199.53 | $3,801.89 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $199.53 Typical High $363.08 | Professional | None | $131.83 | $199.53 | $363.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $933.25 Median $3,162.28 Typical High $4,897.79 | Facility | None | $933.25 | $3,162.28 | $4,897.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $154.88 Median $181.97 Typical High $371.54 | Professional | None | $154.88 | $181.97 | $371.54 |
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 $213.80 Median $213.80 Typical High $316.23 | Professional | None | $213.80 | $213.80 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $426.58 Typical High $1,584.89 | Facility | None | $223.87 | $426.58 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $223.87 Typical High $616.60 | Professional | None | $144.54 | $223.87 | $616.60 |
Emblem Health Setting Facility Modifier None Typical Low $134.90 Median $158.49 Typical High $524.81 | Facility | None | $134.90 | $158.49 | $524.81 |
Emblem Health Setting Professional Modifier None Typical Low $257.04 Median $288.40 Typical High $407.38 | Professional | None | $257.04 | $288.40 | $407.38 |
Excellus BCBS Setting Professional Modifier None Typical Low $91.20 Median $204.17 Typical High $309.03 | Professional | None | $91.20 | $204.17 | $309.03 |
Highmark BCBS Setting Facility Modifier None Typical Low $426.58 Median $977.24 Typical High $4,786.30 | Facility | None | $426.58 | $977.24 | $4,786.30 |
Highmark BCBS Setting Professional Modifier None Typical Low $158.49 Median $177.83 Typical High $251.19 | Professional | None | $158.49 | $177.83 | $251.19 |
MVP Health Care Setting Facility Modifier None Typical Low $87.10 Median $3,235.94 Typical High $4,365.16 | Facility | None | $87.10 | $3,235.94 | $4,365.16 |
MVP Health Care Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $524.81 | Professional | None | $151.36 | $151.36 | $524.81 |
United Setting Facility Modifier None Typical Low $363.08 Median $1,148.15 Typical High $4,365.16 | Facility | None | $363.08 | $1,148.15 | $4,365.16 |
United Setting Professional Modifier None Typical Low $131.83 Median $229.09 Typical High $467.74 | Professional | None | $131.83 | $229.09 | $467.74 |
Univera Setting Facility Modifier None Typical Low $112.20 Median $204.17 Typical High $288.40 | Facility | None | $112.20 | $204.17 | $288.40 |
Univera Setting Professional Modifier None Typical Low $91.20 Median $204.17 Typical High $302.00 | Professional | None | $91.20 | $204.17 | $302.00 |
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 $97.72 Median $147.91 Typical High $181.97 | Professional | 54 · Surgery only | $97.72 | $147.91 | $181.97 |
Where New York sits
The same service costs 4.2 times more in Alaska than in Kentucky. 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· 44th of 51
$195
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.