How much rates vary
Facilitymedian $2,570 · 10th to 90th $87 to $5,129Professionalmedian $50 · 10th to 90th $35 to $81
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 $117.49 Median $3,981.07 Typical High $9,332.54 | Facility | None | $117.49 | $3,981.07 | $9,332.54 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $53.70 Typical High $64.57 | Professional | None | $38.90 | $53.70 | $64.57 |
Ambetter Setting Professional Modifier None Typical Low $46.77 Median $48.98 Typical High $51.29 | Professional | None | $46.77 | $48.98 | $51.29 |
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 $43.65 Median $51.29 Typical High $61.66 | Professional | None | $43.65 | $51.29 | $61.66 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $64.57 Median $75.86 Typical High $87.10 | Professional | 50 · Both sides | $64.57 | $75.86 | $87.10 |
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 $47.86 Median $47.86 Typical High $69.18 | Professional | None | $47.86 | $47.86 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $53.70 Typical High $223.87 | Facility | None | $31.62 | $53.70 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $41.69 Typical High $104.71 | Professional | None | $27.54 | $41.69 | $104.71 |
Emblem Health Setting Facility Modifier None Typical Low $27.54 Median $38.02 Typical High $114.82 | Facility | None | $27.54 | $38.02 | $114.82 |
Emblem Health Setting Professional Modifier None Typical Low $44.67 Median $58.88 Typical High $91.20 | Professional | None | $44.67 | $58.88 | $91.20 |
Excellus BCBS Setting Professional Modifier None Typical Low $38.02 Median $47.86 Typical High $64.57 | Professional | None | $38.02 | $47.86 | $64.57 |
Highmark BCBS Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $1,348.96 | Facility | None | $323.59 | $323.59 | $1,348.96 |
Highmark BCBS Setting Professional Modifier None Typical Low $46.77 Median $70.79 Typical High $79.43 | Professional | None | $46.77 | $70.79 | $79.43 |
MVP Health Care Setting Facility Modifier None Typical Low $42.66 Median $25,118.86 Typical High $36,307.81 | Facility | None | $42.66 | $25,118.86 | $36,307.81 |
MVP Health Care Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $117.49 | Professional | None | $39.81 | $39.81 | $117.49 |
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 $25.70 Median $47.86 Typical High $93.33 | Professional | None | $25.70 | $47.86 | $93.33 |
Univera Setting Facility Modifier None Typical Low $30.20 Median $44.67 Typical High $117.49 | Facility | None | $30.20 | $44.67 | $117.49 |
Univera Setting Professional Modifier None Typical Low $38.02 Median $44.67 Typical High $64.57 | Professional | None | $38.02 | $44.67 | $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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $29.51 Median $40.74 Typical High $40.74 | Professional | 54 · Surgery only | $29.51 | $40.74 | $40.74 |
Where New York sits
The same service costs 3.3 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· 38th of 51
$50.12
AK $135KY $40.74
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.