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 $4,073.80 Typical High $14,791.08 | Facility | None | $1,000.00 | $4,073.80 | $14,791.08 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $4,073.80 | Professional | None | $1,000.00 | $1,000.00 | $4,073.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $12,302.69 | Facility | None | $4,786.30 | $4,786.30 | $12,302.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,905.46 Median $3,311.31 Typical High $9,549.93 | Professional | None | $1,905.46 | $3,311.31 | $9,549.93 |
CDPHP Setting Professional Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Professional | None | $4,786.30 | $4,786.30 | $4,786.30 |
Cigna Setting Facility Modifier None Typical Low $4,677.35 Median $10,232.93 Typical High $13,803.84 | Facility | None | $4,677.35 | $10,232.93 | $13,803.84 |
Cigna Setting Professional Modifier None Typical Low $2,884.03 Median $5,754.40 Typical High $22,908.68 | Professional | None | $2,884.03 | $5,754.40 | $22,908.68 |
Emblem Health Setting Facility Modifier None Typical Low $4,786.30 Median $7,943.28 Typical High $13,182.57 | Facility | None | $4,786.30 | $7,943.28 | $13,182.57 |
Emblem Health Setting Professional Modifier None Typical Low $2,818.38 Median $3,311.31 Typical High $6,918.31 | Professional | None | $2,818.38 | $3,311.31 | $6,918.31 |
Excellus BCBS Setting Professional Modifier None Typical Low $3,090.30 Median $4,786.30 Typical High $5,495.41 | Professional | None | $3,090.30 | $4,786.30 | $5,495.41 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $9,549.93 | Facility | None | $13.80 | $257.04 | $9,549.93 |
MVP Health Care Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $9,772.37 | Professional | None | $645.65 | $645.65 | $9,772.37 |
United Setting Facility Modifier None Typical Low $4,265.80 Median $4,786.30 Typical High $6,025.60 | Facility | None | $4,265.80 | $4,786.30 | $6,025.60 |
United Setting Professional Modifier None Typical Low $1,995.26 Median $2,344.23 Typical High $7,244.36 | Professional | None | $1,995.26 | $2,344.23 | $7,244.36 |
Univera Setting Facility Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $5,011.87 | Facility | None | $3,090.30 | $3,090.30 | $5,011.87 |
Univera Setting Professional Modifier None Typical Low $3,090.30 Median $4,570.88 Typical High $5,495.41 | Professional | None | $3,090.30 | $4,570.88 | $5,495.41 |
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 $2,041.74 | Professional | 52 · Reduced service | $501.19 | $501.19 | $2,041.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $199.53 Typical High $812.83 | Professional | 53 · Discontinued | $199.53 | $199.53 | $812.83 |
Where New York sits
The same service costs 10.7 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· 39th of 51
$3,311
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.