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 $512.86 Median $1,905.46 Typical High $7,585.78 | Facility | None | $512.86 | $1,905.46 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $2,089.30 | Professional | None | $512.86 | $512.86 | $2,089.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $6,309.57 | Facility | None | $2,454.71 | $2,454.71 | $6,309.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $977.24 Median $1,698.24 Typical High $4,897.79 | Professional | None | $977.24 | $1,698.24 | $4,897.79 |
CDPHP Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Professional | None | $2,454.71 | $2,454.71 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $5,248.07 Typical High $7,079.46 | Facility | None | $2,398.83 | $5,248.07 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $2,951.21 Typical High $11,748.98 | Professional | None | $1,047.13 | $2,951.21 | $11,748.98 |
Emblem Health Setting Facility Modifier None Typical Low $562.34 Median $2,454.71 Typical High $5,495.41 | Facility | None | $562.34 | $2,454.71 | $5,495.41 |
Emblem Health Setting Professional Modifier None Typical Low $1,445.44 Median $1,698.24 Typical High $3,548.13 | Professional | None | $1,445.44 | $1,698.24 | $3,548.13 |
Excellus BCBS Setting Professional Modifier None Typical Low $1,584.89 Median $2,454.71 Typical High $2,818.38 | Professional | None | $1,584.89 | $2,454.71 | $2,818.38 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $4,897.79 | Facility | None | $13.80 | $257.04 | $4,897.79 |
MVP Health Care Setting Professional Modifier None Typical Low $1,513.56 Median $1,819.70 Typical High $5,011.87 | Professional | None | $1,513.56 | $1,819.70 | $5,011.87 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $2,454.71 Typical High $3,090.30 | Facility | None | $2,187.76 | $2,454.71 | $3,090.30 |
United Setting Professional Modifier None Typical Low $933.25 Median $1,096.48 Typical High $3,715.35 | Professional | None | $933.25 | $1,096.48 | $3,715.35 |
Univera Setting Facility Modifier None Typical Low $691.83 Median $1,584.89 Typical High $2,570.40 | Facility | None | $691.83 | $1,584.89 | $2,570.40 |
Univera Setting Professional Modifier None Typical Low $851.14 Median $2,344.23 Typical High $2,818.38 | Professional | None | $851.14 | $2,344.23 | $2,818.38 |
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 $257.04 Median $257.04 Typical High $1,047.13 | Professional | 52 · Reduced service | $257.04 | $257.04 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $416.87 | Professional | 53 · Discontinued | $102.33 | $102.33 | $416.87 |
Where New York sits
The same service costs 6.8 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· 27th of 51
$1,778
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.