How much rates vary
Facilitymedian $1,738 · 10th to 90th $661 to $5,754Professionalmedian $1,622 · 10th to 90th $1,000 to $2,512
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 $1,000.00 Median $1,380.38 Typical High $2,951.21 | Facility | None | $1,000.00 | $1,380.38 | $2,951.21 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,380.38 Typical High $2,951.21 | Professional | None | $1,096.48 | $1,380.38 | $2,951.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,412.54 Median $1,737.80 Typical High $2,238.72 | Professional | None | $1,412.54 | $1,737.80 | $2,238.72 |
CDPHP Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,584.89 | $1,584.89 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,778.28 Typical High $2,754.23 | Facility | None | $851.14 | $1,778.28 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,445.44 Typical High $5,495.41 | Professional | None | $1,288.25 | $1,445.44 | $5,495.41 |
Emblem Health Setting Facility Modifier None Typical Low $1,288.25 Median $1,949.84 Typical High $4,265.80 | Facility | None | $1,288.25 | $1,949.84 | $4,265.80 |
Emblem Health Setting Professional Modifier None Typical Low $891.25 Median $1,698.24 Typical High $1,995.26 | Professional | None | $891.25 | $1,698.24 | $1,995.26 |
Excellus BCBS Setting Professional Modifier None Typical Low $831.76 Median $1,000.00 Typical High $1,513.56 | Professional | None | $831.76 | $1,000.00 | $1,513.56 |
MVP Health Care Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $4,786.30 | Facility | None | $2,089.30 | $2,089.30 | $4,786.30 |
MVP Health Care Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $2,951.21 | Professional | None | $1,584.89 | $1,584.89 | $2,951.21 |
United Setting Facility Modifier None Typical Low $575.44 Median $1,698.24 Typical High $6,165.95 | Facility | None | $575.44 | $1,698.24 | $6,165.95 |
United Setting Professional Modifier None Typical Low $1,096.48 Median $1,778.28 Typical High $3,311.31 | Professional | None | $1,096.48 | $1,778.28 | $3,311.31 |
Univera Setting Facility Modifier None Typical Low $977.24 Median $1,023.29 Typical High $3,981.07 | Facility | None | $977.24 | $1,023.29 | $3,981.07 |
Univera Setting Professional Modifier None Typical Low $831.76 Median $1,000.00 Typical High $1,513.56 | Professional | None | $831.76 | $1,000.00 | $1,513.56 |
10 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 $549.54 Median $691.83 Typical High $691.83 | Professional | 52 · Reduced service | $549.54 | $691.83 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $275.42 Typical High $275.42 | Professional | 53 · Discontinued | $218.78 | $275.42 | $275.42 |
Excellus BCBS Setting Professional Modifier U7 · State-defined Typical Low $831.76 Median $954.99 Typical High $1,548.82 | Professional | U7 · State-defined | $831.76 | $954.99 | $1,548.82 |
Excellus BCBS Setting Professional Modifier U8 · State-defined Typical Low $208.93 Median $239.88 Typical High $389.05 | Professional | U8 · State-defined | $208.93 | $239.88 | $389.05 |
Excellus BCBS Setting Professional Modifier U9 · State-defined Typical Low $831.76 Median $954.99 Typical High $1,548.82 | Professional | U9 · State-defined | $831.76 | $954.99 | $1,548.82 |
Highmark BCBS Setting Professional Modifier U9 · State-defined Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Professional | U9 · State-defined | $2,754.23 | $2,754.23 | $2,754.23 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $575.44 Median $776.25 Typical High $1,174.90 | Professional | 53 · Discontinued | $575.44 | $776.25 | $1,174.90 |
Univera Setting Professional Modifier U7 · State-defined Typical Low $831.76 Median $954.99 Typical High $1,513.56 | Professional | U7 · State-defined | $831.76 | $954.99 | $1,513.56 |
Univera Setting Professional Modifier U8 · State-defined Typical Low $208.93 Median $239.88 Typical High $380.19 | Professional | U8 · State-defined | $208.93 | $239.88 | $380.19 |
Univera Setting Professional Modifier U9 · State-defined Typical Low $831.76 Median $954.99 Typical High $1,513.56 | Professional | U9 · State-defined | $831.76 | $954.99 | $1,513.56 |
Where New York sits
The same service costs 3.5 times more in Alaska than in Arkansas. 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· 17th of 51
$1,622
AK $3,715AR $1,072
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.