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 $2,630.27 Typical High $9,332.54 | Facility | None | $512.86 | $2,630.27 | $9,332.54 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $1,819.70 | Professional | None | $512.86 | $512.86 | $1,819.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $5,623.41 | Facility | None | $2,137.96 | $2,137.96 | $5,623.41 |
Anthem BCBS Setting Professional Modifier None Typical Low $851.14 Median $1,548.82 Typical High $4,365.16 | Professional | None | $851.14 | $1,548.82 | $4,365.16 |
CDPHP Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | None | $2,137.96 | $2,137.96 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $2,089.30 Median $4,570.88 Typical High $6,165.95 | Facility | None | $2,089.30 | $4,570.88 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $2,630.27 Typical High $10,232.93 | Professional | None | $1,258.93 | $2,630.27 | $10,232.93 |
Emblem Health Setting Facility Modifier None Typical Low $616.60 Median $2,137.96 Typical High $4,786.30 | Facility | None | $616.60 | $2,137.96 | $4,786.30 |
Emblem Health Setting Professional Modifier None Typical Low $1,258.93 Median $1,513.56 Typical High $3,090.30 | Professional | None | $1,258.93 | $1,513.56 | $3,090.30 |
Excellus BCBS Setting Professional Modifier None Typical Low $1,380.38 Median $2,137.96 Typical High $2,454.71 | Professional | None | $1,380.38 | $2,137.96 | $2,454.71 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $4,265.80 | Facility | None | $13.80 | $257.04 | $4,265.80 |
MVP Health Care Setting Professional Modifier None Typical Low $1,380.38 Median $1,621.81 Typical High $4,466.84 | Professional | None | $1,380.38 | $1,621.81 | $4,466.84 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $2,137.96 Typical High $2,691.53 | Facility | None | $1,949.84 | $2,137.96 | $2,691.53 |
United Setting Professional Modifier None Typical Low $812.83 Median $954.99 Typical High $3,235.94 | Professional | None | $812.83 | $954.99 | $3,235.94 |
Univera Setting Facility Modifier None Typical Low $691.83 Median $1,380.38 Typical High $2,290.87 | Facility | None | $691.83 | $1,380.38 | $2,290.87 |
Univera Setting Professional Modifier None Typical Low $851.14 Median $2,041.74 Typical High $2,454.71 | Professional | None | $851.14 | $2,041.74 | $2,454.71 |
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 $912.01 | Professional | 52 · Reduced service | $257.04 | $257.04 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $104.71 Typical High $363.08 | Professional | 53 · Discontinued | $104.71 | $104.71 | $363.08 |
Where New York sits
The same service costs 6.0 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· 24th of 51
$1,622
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.