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 $676.08 Median $891.25 Typical High $3,235.94 | Facility | None | $676.08 | $891.25 | $3,235.94 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $1,096.48 | Professional | None | $676.08 | $676.08 | $1,096.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $575.44 Median $1,000.00 Typical High $1,995.26 | Professional | None | $575.44 | $1,000.00 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $2,290.87 Typical High $4,073.80 | Facility | None | $758.58 | $2,290.87 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $1,584.89 Typical High $6,760.83 | Professional | None | $602.56 | $1,584.89 | $6,760.83 |
Emblem Health Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,737.80 | Facility | None | $1,071.52 | $1,071.52 | $1,737.80 |
Excellus BCBS Setting Professional Modifier None Typical Low $707.95 Median $1,071.52 Typical High $1,348.96 | Professional | None | $707.95 | $1,071.52 | $1,348.96 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $19.95 Typical High $257.04 | Facility | None | $13.80 | $19.95 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,698.24 | $1,698.24 | $1,698.24 |
United Setting Facility Modifier None Typical Low $338.84 Median $398.11 Typical High $489.78 | Facility | None | $338.84 | $398.11 | $489.78 |
United Setting Professional Modifier None Typical Low $407.38 Median $758.58 Typical High $1,659.59 | Professional | None | $407.38 | $758.58 | $1,659.59 |
Univera Setting Facility Modifier None Typical Low $707.95 Median $1,230.27 Typical High $3,548.13 | Facility | None | $707.95 | $1,230.27 | $3,548.13 |
Univera Setting Professional Modifier None Typical Low $707.95 Median $1,071.52 Typical High $1,348.96 | Professional | None | $707.95 | $1,071.52 | $1,348.96 |
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 $338.84 Median $338.84 Typical High $446.68 | Professional | 52 · Reduced service | $338.84 | $338.84 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $134.90 Typical High $177.83 | Professional | 53 · Discontinued | $134.90 | $134.90 | $177.83 |
Where New York sits
The same service costs 43.7 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· 16th of 51
$1,000
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.