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 $1,819.70 Median $6,165.95 Typical High $10,964.78 | Facility | None | $1,819.70 | $6,165.95 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $239.88 | Professional | None | $151.36 | $151.36 | $239.88 |
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 $114.82 Median $134.90 Typical High $151.36 | Professional | None | $114.82 | $134.90 | $151.36 |
CDPHP Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $1,778.28 Typical High $2,754.23 | Facility | None | $177.83 | $1,778.28 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $295.12 | Professional | None | $109.65 | $109.65 | $295.12 |
Emblem Health Setting Facility Modifier None Typical Low $93.33 Median $120.23 Typical High $389.05 | Facility | None | $93.33 | $120.23 | $389.05 |
Emblem Health Setting Professional Modifier None Typical Low $109.65 Median $114.82 Typical High $181.97 | Professional | None | $109.65 | $114.82 | $181.97 |
Excellus BCBS Setting Professional Modifier None Typical Low $79.43 Median $93.33 Typical High $128.82 | Professional | None | $79.43 | $93.33 | $128.82 |
MVP Health Care Setting Facility Modifier None Typical Low $10,715.19 Median $10,715.19 Typical High $10,715.19 | Facility | None | $10,715.19 | $10,715.19 | $10,715.19 |
MVP Health Care 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 |
United Setting Facility Modifier None Typical Low $363.08 Median $1,318.26 Typical High $4,365.16 | Facility | None | $363.08 | $1,318.26 | $4,365.16 |
United Setting Professional Modifier None Typical Low $67.61 Median $89.13 Typical High $141.25 | Professional | None | $67.61 | $89.13 | $141.25 |
Univera Setting Facility Modifier None Typical Low $95.50 Median $128.82 Typical High $162.18 | Facility | None | $95.50 | $128.82 | $162.18 |
Univera Setting Professional Modifier None Typical Low $67.61 Median $87.10 Typical High $128.82 | Professional | None | $67.61 | $87.10 | $128.82 |
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 $114.82 Median $114.82 Typical High $128.82 | Professional | 54 · Surgery only | $114.82 | $114.82 | $128.82 |
Where New York sits
The same service costs 4.8 times more in Indiana than in Florida. 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· 44th of 51
$132
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.