How much rates vary
Facilitymedian $3,090 · 10th to 90th $1,023 to $7,762Professionalmedian $1,413 · 10th to 90th $851 to $2,089
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 $1,819.70 Median $5,623.41 Typical High $9,772.37 | Facility | None | $1,819.70 | $5,623.41 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $1,122.02 Typical High $2,630.27 | Professional | None | $851.14 | $1,122.02 | $2,630.27 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,202.26 Median $1,513.56 Typical High $1,905.46 | Professional | None | $1,202.26 | $1,513.56 | $1,905.46 |
CDPHP Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $8,912.51 | Facility | None | $2,951.21 | $2,951.21 | $8,912.51 |
CDPHP Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $1,479.11 Median $2,884.03 Typical High $5,888.44 | Facility | None | $1,479.11 | $2,884.03 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,174.90 Typical High $3,715.35 | Professional | None | $1,023.29 | $1,174.90 | $3,715.35 |
Emblem Health Setting Facility Modifier None Typical Low $1,000.00 Median $1,659.59 Typical High $3,467.37 | Facility | None | $1,000.00 | $1,659.59 | $3,467.37 |
Emblem Health Setting Professional Modifier None Typical Low $758.58 Median $1,584.89 Typical High $1,862.09 | Professional | None | $758.58 | $1,584.89 | $1,862.09 |
Excellus BCBS Setting Professional Modifier None Typical Low $645.65 Median $812.83 Typical High $1,174.90 | Professional | None | $645.65 | $812.83 | $1,174.90 |
MVP Health Care Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $4,786.30 | Facility | None | $1,862.09 | $1,862.09 | $4,786.30 |
MVP Health Care Setting Professional Modifier None Typical Low $1,288.25 Median $1,445.44 Typical High $2,398.83 | Professional | None | $1,288.25 | $1,445.44 | $2,398.83 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $2,754.23 Typical High $7,762.47 | Facility | None | $1,122.02 | $2,754.23 | $7,762.47 |
United Setting Professional Modifier None Typical Low $851.14 Median $1,412.54 Typical High $2,630.27 | Professional | None | $851.14 | $1,412.54 | $2,630.27 |
Univera Setting Facility Modifier None Typical Low $758.58 Median $812.83 Typical High $3,311.31 | Facility | None | $758.58 | $812.83 | $3,311.31 |
Univera Setting Professional Modifier None Typical Low $645.65 Median $812.83 Typical High $1,071.52 | Professional | None | $645.65 | $812.83 | $1,071.52 |
9 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $426.58 Median $562.34 Typical High $562.34 | Professional | 52 · Reduced service | $426.58 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $223.87 Typical High $223.87 | Professional | 53 · Discontinued | $173.78 | $223.87 | $223.87 |
Excellus BCBS Setting Professional Modifier U7 · State-defined Typical Low $645.65 Median $851.14 Typical High $1,202.26 | Professional | U7 · State-defined | $645.65 | $851.14 | $1,202.26 |
Excellus BCBS Setting Professional Modifier U8 · State-defined Typical Low $162.18 Median $213.80 Typical High $302.00 | Professional | U8 · State-defined | $162.18 | $213.80 | $302.00 |
Excellus BCBS Setting Professional Modifier U9 · State-defined Typical Low $645.65 Median $851.14 Typical High $1,202.26 | Professional | U9 · State-defined | $645.65 | $851.14 | $1,202.26 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $457.09 Median $630.96 Typical High $891.25 | Professional | 53 · Discontinued | $457.09 | $630.96 | $891.25 |
Univera Setting Professional Modifier U7 · State-defined Typical Low $645.65 Median $851.14 Typical High $1,174.90 | Professional | U7 · State-defined | $645.65 | $851.14 | $1,174.90 |
Univera Setting Professional Modifier U8 · State-defined Typical Low $162.18 Median $213.80 Typical High $288.40 | Professional | U8 · State-defined | $162.18 | $213.80 | $288.40 |
Univera Setting Professional Modifier U9 · State-defined Typical Low $645.65 Median $851.14 Typical High $1,174.90 | Professional | U9 · State-defined | $645.65 | $851.14 | $1,174.90 |
Where New York sits
The same service costs 3.4 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.
Physician feeFacility fee
AK $7,351KY $2,168
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.