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 $323.59 Median $2,630.27 Typical High $9,549.93 | Facility | None | $323.59 | $2,630.27 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $2,630.27 | Professional | None | $323.59 | $323.59 | $2,630.27 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $8,128.31 | Facility | None | $3,090.30 | $3,090.30 | $8,128.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,258.93 Median $2,951.21 Typical High $6,760.83 | Professional | None | $1,258.93 | $2,951.21 | $6,760.83 |
CDPHP Setting Professional Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Professional | None | $3,090.30 | $3,090.30 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $3,019.95 Median $6,606.93 Typical High $8,912.51 | Facility | None | $3,019.95 | $6,606.93 | $8,912.51 |
Cigna Setting Professional Modifier None Typical Low $1,905.46 Median $3,801.89 Typical High $15,135.61 | Professional | None | $1,905.46 | $3,801.89 | $15,135.61 |
Emblem Health Setting Facility Modifier None Typical Low $891.25 Median $3,090.30 Typical High $7,079.46 | Facility | None | $891.25 | $3,090.30 | $7,079.46 |
Emblem Health Setting Professional Modifier None Typical Low $2,187.76 Median $2,630.27 Typical High $4,466.84 | Professional | None | $2,187.76 | $2,630.27 | $4,466.84 |
Excellus BCBS Setting Professional Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $3,548.13 | Professional | None | $1,995.26 | $3,090.30 | $3,548.13 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $6,165.95 | Facility | None | $13.80 | $257.04 | $6,165.95 |
MVP Health Care Setting Professional Modifier None Typical Low $1,174.90 Median $2,344.23 Typical High $6,456.54 | Professional | None | $1,174.90 | $2,344.23 | $6,456.54 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $3,090.30 Typical High $3,890.45 | Facility | None | $2,818.38 | $3,090.30 | $3,890.45 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $1,479.11 Typical High $4,677.35 | Professional | None | $1,318.26 | $1,479.11 | $4,677.35 |
Univera Setting Facility Modifier None Typical Low $1,995.26 Median $3,311.31 Typical High $4,466.84 | Facility | None | $1,995.26 | $3,311.31 | $4,466.84 |
Univera Setting Professional Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $3,548.13 | Professional | None | $1,995.26 | $3,090.30 | $3,548.13 |
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 $158.49 Median $158.49 Typical High $1,318.26 | Professional | 52 · Reduced service | $158.49 | $158.49 | $1,318.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $524.81 | Professional | 53 · Discontinued | $64.57 | $64.57 | $524.81 |
Where New York sits
The same service costs 6.0 times more in Texas 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· 37th of 51
$2,344
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.