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 $1,862.09 Median $3,311.31 Typical High $11,748.98 | Facility | None | $1,862.09 | $3,311.31 | $11,748.98 |
Aetna Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $3,311.31 | Professional | None | $1,862.09 | $1,862.09 | $3,311.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $10,000.00 | Facility | None | $3,890.45 | $3,890.45 | $10,000.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,548.82 Median $3,388.44 Typical High $7,943.28 | Professional | None | $1,548.82 | $3,388.44 | $7,943.28 |
CDPHP Setting Professional Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Professional | None | $3,890.45 | $3,890.45 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $3,801.89 Median $8,317.64 Typical High $11,220.18 | Facility | None | $3,801.89 | $8,317.64 | $11,220.18 |
Cigna Setting Professional Modifier None Typical Low $2,344.23 Median $4,677.35 Typical High $18,620.87 | Professional | None | $2,344.23 | $4,677.35 | $18,620.87 |
Emblem Health Setting Facility Modifier None Typical Low $3,890.45 Median $6,456.54 Typical High $10,715.19 | Facility | None | $3,890.45 | $6,456.54 | $10,715.19 |
Emblem Health Setting Professional Modifier None Typical Low $2,691.53 Median $3,311.31 Typical High $5,623.41 | Professional | None | $2,691.53 | $3,311.31 | $5,623.41 |
Excellus BCBS Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | None | $2,089.30 | $2,089.30 | $2,089.30 |
Excellus BCBS Setting Professional Modifier None Typical Low $2,511.89 Median $3,715.35 Typical High $4,466.84 | Professional | None | $2,511.89 | $3,715.35 | $4,466.84 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $3,388.44 Typical High $7,762.47 | Facility | None | $13.80 | $3,388.44 | $7,762.47 |
MVP Health Care Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $7,943.28 | Professional | None | $199.53 | $199.53 | $7,943.28 |
United Setting Facility Modifier None Typical Low $3,467.37 Median $3,890.45 Typical High $4,786.30 | Facility | None | $3,467.37 | $3,890.45 | $4,786.30 |
United Setting Professional Modifier None Typical Low $1,621.81 Median $1,862.09 Typical High $5,888.44 | Professional | None | $1,621.81 | $1,862.09 | $5,888.44 |
Univera Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $4,073.80 | Facility | None | $2,089.30 | $2,089.30 | $4,073.80 |
Univera Setting Professional Modifier None Typical Low $2,089.30 Median $3,715.35 Typical High $4,365.16 | Professional | None | $2,089.30 | $3,715.35 | $4,365.16 |
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 $933.25 Median $933.25 Typical High $1,659.59 | Professional | 52 · Reduced service | $933.25 | $933.25 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $371.54 Typical High $660.69 | Professional | 53 · Discontinued | $371.54 | $371.54 | $660.69 |
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· 44th of 51
$2,692
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.