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 $2,238.72 Typical High $7,079.46 | Facility | None | $1,000.00 | $2,238.72 | $7,079.46 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,698.24 | Professional | None | $1,000.00 | $1,000.00 | $1,698.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $5,248.07 | Facility | None | $1,995.26 | $1,995.26 | $5,248.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,445.44 Median $2,570.40 Typical High $4,786.30 | Professional | None | $1,445.44 | $2,570.40 | $4,786.30 |
CDPHP Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,995.26 | $1,995.26 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $1,949.84 Median $4,677.35 Typical High $5,754.40 | Facility | None | $1,949.84 | $4,677.35 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $2,454.71 Typical High $9,549.93 | Professional | None | $1,202.26 | $2,454.71 | $9,549.93 |
Emblem Health Setting Facility Modifier None Typical Low $138.04 Median $1,995.26 Typical High $4,466.84 | Facility | None | $138.04 | $1,995.26 | $4,466.84 |
Emblem Health Setting Professional Modifier None Typical Low $1,412.54 Median $1,698.24 Typical High $2,884.03 | Professional | None | $1,412.54 | $1,698.24 | $2,884.03 |
Excellus BCBS Setting Professional Modifier None Typical Low $1,584.89 Median $1,905.46 Typical High $2,290.87 | Professional | None | $1,584.89 | $1,905.46 | $2,290.87 |
Highmark BCBS Setting Facility Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Facility | None | $3,801.89 | $3,801.89 | $3,801.89 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $3,981.07 | Facility | None | $13.80 | $257.04 | $3,981.07 |
MVP Health Care Setting Professional Modifier None Typical Low $1,288.25 Median $1,584.89 Typical High $4,073.80 | Professional | None | $1,288.25 | $1,584.89 | $4,073.80 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $1,995.26 Typical High $2,511.89 | Facility | None | $1,819.70 | $1,995.26 | $2,511.89 |
United Setting Professional Modifier None Typical Low $831.76 Median $954.99 Typical High $3,019.95 | Professional | None | $831.76 | $954.99 | $3,019.95 |
Univera Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $2,137.96 | Facility | None | $1,288.25 | $1,288.25 | $2,137.96 |
Univera Setting Professional Modifier None Typical Low $1,584.89 Median $1,905.46 Typical High $2,238.72 | Professional | None | $1,584.89 | $1,905.46 | $2,238.72 |
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 $501.19 Median $501.19 Typical High $851.14 | Professional | 52 · Reduced service | $501.19 | $501.19 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $199.53 Typical High $338.84 | Professional | 53 · Discontinued | $199.53 | $199.53 | $338.84 |
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· 30th of 51
$1,698
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.