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 $1,000.00 Median $4,265.80 Typical High $10,232.93 | Facility | None | $1,000.00 | $4,265.80 | $10,232.93 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $123.03 Typical High $147.91 | Professional | None | $35.48 | $123.03 | $147.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $933.25 Median $3,162.28 Typical High $5,011.87 | Facility | None | $933.25 | $3,162.28 | $5,011.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $102.33 Median $120.23 Typical High $147.91 | Professional | None | $102.33 | $120.23 | $147.91 |
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 $43.65 Median $43.65 Typical High $177.83 | Professional | None | $43.65 | $43.65 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $245.47 Typical High $1,584.89 | Facility | None | $128.82 | $245.47 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $104.71 Typical High $251.19 | Professional | None | $26.30 | $104.71 | $251.19 |
Emblem Health Setting Facility Modifier None Typical Low $27.54 Median $35.48 Typical High $107.15 | Facility | None | $27.54 | $35.48 | $107.15 |
Emblem Health Setting Professional Modifier None Typical Low $109.65 Median $141.25 Typical High $213.80 | Professional | None | $109.65 | $141.25 | $213.80 |
Excellus BCBS Setting Professional Modifier None Typical Low $85.11 Median $112.20 Typical High $144.54 | Professional | None | $85.11 | $112.20 | $144.54 |
Highmark BCBS Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
MVP Health Care Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
MVP Health Care Setting Professional Modifier None Typical Low $128.82 Median $177.83 Typical High $263.03 | Professional | None | $128.82 | $177.83 | $263.03 |
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 $23.44 Median $79.43 Typical High $213.80 | Professional | None | $23.44 | $79.43 | $213.80 |
Univera Setting Facility Modifier None Typical Low $26.92 Median $87.10 Typical High $131.83 | Facility | None | $26.92 | $87.10 | $131.83 |
Univera Setting Professional Modifier None Typical Low $85.11 Median $109.65 Typical High $134.90 | Professional | None | $85.11 | $109.65 | $134.90 |
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 $26.30 Median $89.13 Typical High $109.65 | Professional | 54 · Surgery only | $26.30 | $89.13 | $109.65 |
Where New York sits
The same service costs 5.1 times more in Iowa 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· 28th of 51
$112
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.