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 $1,949.84 Median $3,090.30 Typical High $10,964.78 | Facility | None | $1,949.84 | $3,090.30 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $3,090.30 | Professional | None | $1,949.84 | $1,949.84 | $3,090.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $9,332.54 | Facility | None | $3,630.78 | $3,630.78 | $9,332.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,445.44 Median $3,630.78 Typical High $8,317.64 | Professional | None | $1,445.44 | $3,630.78 | $8,317.64 |
CDPHP Setting Professional Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Professional | None | $3,630.78 | $3,630.78 | $3,630.78 |
Cigna Setting Facility Modifier None Typical Low $3,548.13 Median $7,762.47 Typical High $9,332.54 | Facility | None | $3,548.13 | $7,762.47 | $9,332.54 |
Cigna Setting Professional Modifier None Typical Low $2,238.72 Median $4,570.88 Typical High $12,302.69 | Professional | None | $2,238.72 | $4,570.88 | $12,302.69 |
Emblem Health Setting Facility Modifier None Typical Low $3,019.95 Median $4,570.88 Typical High $8,128.31 | Facility | None | $3,019.95 | $4,570.88 | $8,128.31 |
Emblem Health Setting Professional Modifier None Typical Low $2,511.89 Median $3,019.95 Typical High $5,248.07 | Professional | None | $2,511.89 | $3,019.95 | $5,248.07 |
Excellus BCBS Setting Professional Modifier None Typical Low $2,454.71 Median $3,630.78 Typical High $4,168.69 | Professional | None | $2,454.71 | $3,630.78 | $4,168.69 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $7,244.36 | Facility | None | $13.80 | $257.04 | $7,244.36 |
MVP Health Care Setting Professional Modifier None Typical Low $2,344.23 Median $2,691.53 Typical High $7,413.10 | Professional | None | $2,344.23 | $2,691.53 | $7,413.10 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $3,630.78 Typical High $4,466.84 | Facility | None | $3,235.94 | $3,630.78 | $4,466.84 |
United Setting Professional Modifier None Typical Low $1,513.56 Median $1,778.28 Typical High $5,495.41 | Professional | None | $1,513.56 | $1,778.28 | $5,495.41 |
Univera Setting Facility Modifier None Typical Low $2,344.23 Median $3,801.89 Typical High $5,248.07 | Facility | None | $2,344.23 | $3,801.89 | $5,248.07 |
Univera Setting Professional Modifier None Typical Low $2,344.23 Median $3,630.78 Typical High $4,168.69 | Professional | None | $2,344.23 | $3,630.78 | $4,168.69 |
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 $977.24 Median $977.24 Typical High $1,513.56 | Professional | 52 · Reduced service | $977.24 | $977.24 | $1,513.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $389.05 Typical High $616.60 | Professional | 53 · Discontinued | $389.05 | $389.05 | $616.60 |
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· 31st of 51
$3,090
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.