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 $1,148.15 Median $2,344.23 Typical High $8,709.64 | Facility | None | $1,148.15 | $2,344.23 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $2,454.71 | Professional | None | $1,148.15 | $1,148.15 | $2,454.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $7,413.10 | Facility | None | $2,884.03 | $2,884.03 | $7,413.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,148.15 Median $2,754.23 Typical High $5,888.44 | Professional | None | $1,148.15 | $2,754.23 | $5,888.44 |
CDPHP Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,884.03 | $2,884.03 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $2,818.38 Median $6,165.95 Typical High $8,317.64 | Facility | None | $2,818.38 | $6,165.95 | $8,317.64 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $3,467.37 Typical High $13,803.84 | Professional | None | $1,737.80 | $3,467.37 | $13,803.84 |
Emblem Health Setting Facility Modifier None Typical Low $602.56 Median $2,884.03 Typical High $6,456.54 | Facility | None | $602.56 | $2,884.03 | $6,456.54 |
Emblem Health Setting Professional Modifier None Typical Low $1,698.24 Median $2,454.71 Typical High $3,801.89 | Professional | None | $1,698.24 | $2,454.71 | $3,801.89 |
Excellus BCBS Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Excellus BCBS Setting Professional Modifier None Typical Low $151.36 Median $2,754.23 Typical High $3,311.31 | Professional | None | $151.36 | $2,754.23 | $3,311.31 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $5,754.40 | Facility | None | $13.80 | $257.04 | $5,754.40 |
MVP Health Care Setting Professional Modifier None Typical Low $117.49 Median $2,137.96 Typical High $5,888.44 | Professional | None | $117.49 | $2,137.96 | $5,888.44 |
United Setting Facility Modifier None Typical Low $2,570.40 Median $2,884.03 Typical High $3,548.13 | Facility | None | $2,570.40 | $2,884.03 | $3,548.13 |
United Setting Professional Modifier None Typical Low $1,174.90 Median $1,380.38 Typical High $4,365.16 | Professional | None | $1,174.90 | $1,380.38 | $4,365.16 |
Univera Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $3,019.95 | Facility | None | $120.23 | $120.23 | $3,019.95 |
Univera Setting Professional Modifier None Typical Low $144.54 Median $2,754.23 Typical High $3,235.94 | Professional | None | $144.54 | $2,754.23 | $3,235.94 |
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 $575.44 Median $575.44 Typical High $1,230.27 | Professional | 52 · Reduced service | $575.44 | $575.44 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $234.42 Typical High $489.78 | Professional | 53 · Discontinued | $234.42 | $234.42 | $489.78 |
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· 37th of 51
$2,138
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.