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 $3,019.95 Median $4,677.35 Typical High $16,982.44 | Facility | None | $3,019.95 | $4,677.35 | $16,982.44 |
Aetna Setting Professional Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $4,677.35 | Professional | None | $3,019.95 | $3,019.95 | $4,677.35 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $14,125.38 | Facility | None | $5,370.32 | $5,370.32 | $14,125.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,187.76 Median $5,495.41 Typical High $12,882.50 | Professional | None | $2,187.76 | $5,495.41 | $12,882.50 |
CDPHP Setting Professional Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $5,495.41 | Professional | None | $5,495.41 | $5,495.41 | $5,495.41 |
Cigna Setting Facility Modifier None Typical Low $5,370.32 Median $11,748.98 Typical High $14,125.38 | Facility | None | $5,370.32 | $11,748.98 | $14,125.38 |
Cigna Setting Professional Modifier None Typical Low $3,467.37 Median $7,079.46 Typical High $18,620.87 | Professional | None | $3,467.37 | $7,079.46 | $18,620.87 |
Emblem Health Setting Facility Modifier None Typical Low $5,370.32 Median $8,912.51 Typical High $14,791.08 | Facility | None | $5,370.32 | $8,912.51 | $14,791.08 |
Emblem Health Setting Professional Modifier None Typical Low $3,801.89 Median $4,570.88 Typical High $7,762.47 | Professional | None | $3,801.89 | $4,570.88 | $7,762.47 |
Excellus BCBS Setting Professional Modifier None Typical Low $3,715.35 Median $5,370.32 Typical High $6,309.57 | Professional | None | $3,715.35 | $5,370.32 | $6,309.57 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $10,964.78 | Facility | None | $13.80 | $257.04 | $10,964.78 |
MVP Health Care Setting Professional Modifier None Typical Low $3,548.13 Median $4,168.69 Typical High $11,220.18 | Professional | None | $3,548.13 | $4,168.69 | $11,220.18 |
United Setting Facility Modifier None Typical Low $4,897.79 Median $5,370.32 Typical High $6,760.83 | Facility | None | $4,897.79 | $5,370.32 | $6,760.83 |
United Setting Professional Modifier None Typical Low $2,290.87 Median $2,754.23 Typical High $8,317.64 | Professional | None | $2,290.87 | $2,754.23 | $8,317.64 |
Univera Setting Facility Modifier None Typical Low $3,548.13 Median $5,754.40 Typical High $7,943.28 | Facility | None | $3,548.13 | $5,754.40 | $7,943.28 |
Univera Setting Professional Modifier None Typical Low $3,548.13 Median $5,370.32 Typical High $6,309.57 | Professional | None | $3,548.13 | $5,370.32 | $6,309.57 |
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 $1,513.56 Median $1,513.56 Typical High $2,344.23 | Professional | 52 · Reduced service | $1,513.56 | $1,513.56 | $2,344.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $602.56 Median $602.56 Typical High $933.25 | Professional | 53 · Discontinued | $602.56 | $602.56 | $933.25 |
Where New York sits
The same service costs 6.2 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· 33rd of 51
$4,571
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.