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 $107.15 Median $2,570.40 Typical High $7,762.47 | Facility | None | $107.15 | $2,570.40 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $218.78 Typical High $309.03 | Professional | None | $100.00 | $218.78 | $309.03 |
Ambetter Setting Professional Modifier None Typical Low $51.29 Median $66.07 Typical High $173.78 | Professional | None | $51.29 | $66.07 | $173.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $3,548.13 Typical High $4,897.79 | Facility | None | $1,819.70 | $3,548.13 | $4,897.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $213.80 Median $251.19 Typical High $281.84 | Professional | None | $213.80 | $251.19 | $281.84 |
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 $125.89 Median $125.89 Typical High $371.54 | Professional | None | $125.89 | $125.89 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $208.93 Typical High $501.19 | Professional | None | $74.13 | $208.93 | $501.19 |
Emblem Health Setting Facility Modifier None Typical Low $77.62 Median $93.33 Typical High $281.84 | Facility | None | $77.62 | $93.33 | $281.84 |
Emblem Health Setting Professional Modifier None Typical Low $223.87 Median $257.04 Typical High $389.05 | Professional | None | $223.87 | $257.04 | $389.05 |
Excellus BCBS Setting Professional Modifier None Typical Low $165.96 Median $218.78 Typical High $281.84 | Professional | None | $165.96 | $218.78 | $281.84 |
Highmark BCBS Setting Facility Modifier None Typical Low $724.44 Median $2,041.74 Typical High $3,388.44 | Facility | None | $724.44 | $2,041.74 | $3,388.44 |
Highmark BCBS Setting Professional Modifier None Typical Low $204.17 Median $208.93 Typical High $208.93 | Professional | None | $204.17 | $208.93 | $208.93 |
MVP Health Care Setting Facility Modifier None Typical Low $109.65 Median $3,235.94 Typical High $4,365.16 | Facility | None | $109.65 | $3,235.94 | $4,365.16 |
MVP Health Care Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $645.65 | Professional | None | $234.42 | $234.42 | $645.65 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $3,311.31 Typical High $6,165.95 | Facility | None | $1,445.44 | $3,311.31 | $6,165.95 |
United Setting Professional Modifier None Typical Low $81.28 Median $229.09 Typical High $549.54 | Professional | None | $81.28 | $229.09 | $549.54 |
Univera Setting Facility Modifier None Typical Low $75.86 Median $100.00 Typical High $165.96 | Facility | None | $75.86 | $100.00 | $165.96 |
Univera Setting Professional Modifier None Typical Low $165.96 Median $218.78 Typical High $275.42 | Professional | None | $165.96 | $218.78 | $275.42 |
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 $131.83 Median $169.82 Typical High $288.40 | Professional | 53 · Discontinued | $131.83 | $169.82 | $288.40 |
Where New York sits
The same service costs 4.1 times more in Minnesota 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· 19th of 51
$245
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.