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 $724.44 Median $3,890.45 Typical High $8,128.31 | Facility | None | $724.44 | $3,890.45 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $51.29 Typical High $100.00 | Professional | None | $40.74 | $51.29 | $100.00 |
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 $45.71 Median $53.70 Typical High $91.20 | Professional | None | $45.71 | $53.70 | $91.20 |
CDPHP Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $4,073.80 | Facility | None | $1,348.96 | $1,348.96 | $4,073.80 |
CDPHP Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $70.79 | Professional | None | $57.54 | $57.54 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $1,778.28 Typical High $1,949.84 | Facility | None | $63.10 | $1,778.28 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $51.29 Typical High $173.78 | Professional | None | $41.69 | $51.29 | $173.78 |
Emblem Health Setting Facility Modifier None Typical Low $41.69 Median $54.95 Typical High $144.54 | Facility | None | $41.69 | $54.95 | $144.54 |
Emblem Health Setting Professional Modifier None Typical Low $58.88 Median $64.57 Typical High $104.71 | Professional | None | $58.88 | $64.57 | $104.71 |
Excellus BCBS Setting Professional Modifier None Typical Low $33.88 Median $48.98 Typical High $69.18 | Professional | None | $33.88 | $48.98 | $69.18 |
Highmark BCBS Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Highmark BCBS Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
MVP Health Care Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
MVP Health Care Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $125.89 | Professional | None | $42.66 | $42.66 | $125.89 |
United Setting Facility Modifier None Typical Low $363.08 Median $1,318.26 Typical High $4,365.16 | Facility | None | $363.08 | $1,318.26 | $4,365.16 |
United Setting Professional Modifier None Typical Low $36.31 Median $60.26 Typical High $123.03 | Professional | None | $36.31 | $60.26 | $123.03 |
Univera Setting Facility Modifier None Typical Low $29.51 Median $42.66 Typical High $134.90 | Facility | None | $29.51 | $42.66 | $134.90 |
Univera Setting Professional Modifier None Typical Low $33.88 Median $45.71 Typical High $64.57 | Professional | None | $33.88 | $45.71 | $64.57 |
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 |
|---|---|---|---|---|---|
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $34.67 Typical High $51.29 | Professional | 53 · Discontinued | $25.70 | $34.67 | $51.29 |
Where New York sits
The same service costs 3.2 times more in Alaska than in Pennsylvania. 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
$53.70
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.