How much rates vary
Facilitymedian $5,012 · 10th to 90th $1,905 to $7,586Professionalmedian $2,138 · 10th to 90th $813 to $5,495
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 $2,290.87 Median $3,630.78 Typical High $12,882.50 | Facility | None | $2,290.87 | $3,630.78 | $12,882.50 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $2,454.71 Typical High $7,244.36 | Professional | None | $812.83 | $2,454.71 | $7,244.36 |
Ambetter Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $7,585.78 | Facility | None | $2,951.21 | $2,951.21 | $7,585.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,174.90 Median $2,041.74 Typical High $5,888.44 | Professional | None | $1,174.90 | $2,041.74 | $5,888.44 |
CDPHP Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,951.21 | $2,951.21 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $2,818.38 Median $6,309.57 Typical High $8,317.64 | Facility | None | $2,818.38 | $6,309.57 | $8,317.64 |
Cigna Setting Professional Modifier None Typical Low $1,778.28 Median $3,548.13 Typical High $14,125.38 | Professional | None | $1,778.28 | $3,548.13 | $14,125.38 |
Emblem Health Setting Facility Modifier None Typical Low $2,951.21 Median $4,786.30 Typical High $7,943.28 | Facility | None | $2,951.21 | $4,786.30 | $7,943.28 |
Emblem Health Setting Professional Modifier None Typical Low $1,737.80 Median $2,041.74 Typical High $4,265.80 | Professional | None | $1,737.80 | $2,041.74 | $4,265.80 |
Excellus BCBS Setting Professional Modifier None Typical Low $1,905.46 Median $2,951.21 Typical High $3,388.44 | Professional | None | $1,905.46 | $2,951.21 | $3,388.44 |
Highmark BCBS Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $6,165.95 | Facility | None | $2,290.87 | $2,290.87 | $6,165.95 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $5,888.44 | Facility | None | $13.80 | $257.04 | $5,888.44 |
MVP Health Care Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $6,025.60 | Professional | None | $645.65 | $645.65 | $6,025.60 |
United Setting Facility Modifier None Typical Low $2,630.27 Median $2,951.21 Typical High $3,630.78 | Facility | None | $2,630.27 | $2,951.21 | $3,630.78 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $1,445.44 Typical High $4,466.84 | Professional | None | $1,230.27 | $1,445.44 | $4,466.84 |
Univera Setting Facility Modifier None Typical Low $29.51 Median $1,905.46 Typical High $3,090.30 | Facility | None | $29.51 | $1,905.46 | $3,090.30 |
Univera Setting Professional Modifier None Typical Low $1,905.46 Median $2,754.23 Typical High $3,388.44 | Professional | None | $1,905.46 | $2,754.23 | $3,388.44 |
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 $363.08 Median $363.08 Typical High $1,230.27 | Professional | 52 · Reduced service | $363.08 | $363.08 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $144.54 Typical High $501.19 | Professional | 53 · Discontinued | $144.54 | $144.54 | $501.19 |
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· 33rd of 51
$2,291
AK $6,607AL $1,230
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.