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 $630.96 Median $977.24 Typical High $3,548.13 | Facility | None | $630.96 | $977.24 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $977.24 | Professional | None | $630.96 | $630.96 | $977.24 |
Anthem BCBS Setting Professional Modifier None Typical Low $42.66 Median $977.24 Typical High $2,398.83 | Professional | None | $42.66 | $977.24 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,737.80 Typical High $4,265.80 | Facility | None | $1,174.90 | $1,737.80 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $1,905.46 Typical High $6,165.95 | Professional | None | $707.95 | $1,905.46 | $6,165.95 |
Emblem Health Setting Facility Modifier None Typical Low $794.33 Median $1,288.25 Typical High $2,691.53 | Facility | None | $794.33 | $1,288.25 | $2,691.53 |
Emblem Health Setting Professional Modifier None Typical Low $831.76 Median $1,023.29 Typical High $1,737.80 | Professional | None | $831.76 | $1,023.29 | $1,737.80 |
Excellus BCBS Setting Professional Modifier None Typical Low $954.99 Median $1,148.15 Typical High $1,380.38 | Professional | None | $954.99 | $1,148.15 | $1,380.38 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $2,398.83 | Facility | None | $13.80 | $257.04 | $2,398.83 |
MVP Health Care Setting Professional Modifier None Typical Low $758.58 Median $870.96 Typical High $2,398.83 | Professional | None | $758.58 | $870.96 | $2,398.83 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $1,202.26 Typical High $1,513.56 | Facility | None | $1,071.52 | $1,202.26 | $1,513.56 |
United Setting Professional Modifier None Typical Low $489.78 Median $602.56 Typical High $1,778.28 | Professional | None | $489.78 | $602.56 | $1,778.28 |
Univera Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $1,258.93 | Facility | None | $776.25 | $776.25 | $1,258.93 |
Univera Setting Professional Modifier None Typical Low $954.99 Median $1,148.15 Typical High $1,288.25 | Professional | None | $954.99 | $1,148.15 | $1,288.25 |
2 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 $316.23 Median $316.23 Typical High $489.78 | Professional | 52 · Reduced service | $316.23 | $316.23 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $125.89 Typical High $194.98 | Professional | 53 · Discontinued | $125.89 | $125.89 | $194.98 |
Where New York sits
The same service costs 5.4 times more in Alaska than in Alabama. 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· 32nd of 51
$891
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.