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 $1,548.82 Median $2,754.23 Typical High $10,000.00 | Facility | None | $1,548.82 | $2,754.23 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $2,754.23 | Professional | None | $1,548.82 | $1,548.82 | $2,754.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $8,511.38 | Facility | None | $3,235.94 | $3,235.94 | $8,511.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,288.25 Median $3,090.30 Typical High $6,606.93 | Professional | None | $1,288.25 | $3,090.30 | $6,606.93 |
CDPHP Setting Professional Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | None | $3,235.94 | $3,235.94 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $3,162.28 Median $6,918.31 Typical High $9,332.54 | Facility | None | $3,162.28 | $6,918.31 | $9,332.54 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $3,981.07 Typical High $15,488.17 | Professional | None | $1,949.84 | $3,981.07 | $15,488.17 |
Emblem Health Setting Facility Modifier None Typical Low $741.31 Median $3,235.94 Typical High $7,244.36 | Facility | None | $741.31 | $3,235.94 | $7,244.36 |
Emblem Health Setting Professional Modifier None Typical Low $1,949.84 Median $2,754.23 Typical High $4,365.16 | Professional | None | $1,949.84 | $2,754.23 | $4,365.16 |
Excellus BCBS Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,348.96 | $1,348.96 | $1,348.96 |
Excellus BCBS Setting Professional Modifier None Typical Low $1,698.24 Median $3,090.30 Typical High $3,715.35 | Professional | None | $1,698.24 | $3,090.30 | $3,715.35 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $2,884.03 Typical High $6,456.54 | Facility | None | $13.80 | $2,884.03 | $6,456.54 |
MVP Health Care Setting Professional Modifier None Typical Low $1,174.90 Median $2,454.71 Typical High $6,606.93 | Professional | None | $1,174.90 | $2,454.71 | $6,606.93 |
United Setting Facility Modifier None Typical Low $2,884.03 Median $3,235.94 Typical High $4,073.80 | Facility | None | $2,884.03 | $3,235.94 | $4,073.80 |
United Setting Professional Modifier None Typical Low $1,348.96 Median $1,548.82 Typical High $4,897.79 | Professional | None | $1,348.96 | $1,548.82 | $4,897.79 |
Univera Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $3,467.37 | Facility | None | $1,348.96 | $1,348.96 | $3,467.37 |
Univera Setting Professional Modifier None Typical Low $1,584.89 Median $3,090.30 Typical High $3,630.78 | Professional | None | $1,584.89 | $3,090.30 | $3,630.78 |
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 $776.25 Median $776.25 Typical High $1,380.38 | Professional | 52 · Reduced service | $776.25 | $776.25 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $309.03 Median $309.03 Typical High $549.54 | Professional | 53 · Discontinued | $309.03 | $309.03 | $549.54 |
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· 36th of 51
$2,455
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.