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 $812.83 Median $1,230.27 Typical High $2,754.23 | Facility | None | $812.83 | $1,230.27 | $2,754.23 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $1,230.27 | Professional | None | $812.83 | $812.83 | $1,230.27 |
Anthem BCBS Setting Professional Modifier None Typical Low $707.95 Median $831.76 Typical High $1,348.96 | Professional | None | $707.95 | $831.76 | $1,348.96 |
CDPHP Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,659.59 | $1,659.59 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,122.02 | $1,995.26 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $1,000.00 Typical High $1,778.28 | Professional | None | $851.14 | $1,000.00 | $1,778.28 |
Emblem Health Setting Facility Modifier None Typical Low $691.83 Median $1,258.93 Typical High $4,466.84 | Facility | None | $691.83 | $1,258.93 | $4,466.84 |
Emblem Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,380.38 Typical High $2,344.23 | Professional | None | $1,023.29 | $1,380.38 | $2,344.23 |
Excellus BCBS Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
Excellus BCBS Setting Professional Modifier None Typical Low $812.83 Median $977.24 Typical High $1,445.44 | Professional | None | $812.83 | $977.24 | $1,445.44 |
MVP Health Care Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
MVP Health Care Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,318.26 | Professional | None | $758.58 | $758.58 | $1,318.26 |
United Setting Professional Modifier None Typical Low $794.33 Median $933.25 Typical High $1,380.38 | Professional | None | $794.33 | $933.25 | $1,380.38 |
Univera Setting Facility Modifier None Typical Low $467.74 Median $1,258.93 Typical High $3,311.31 | Facility | None | $467.74 | $1,258.93 | $3,311.31 |
Univera Setting Professional Modifier None Typical Low $812.83 Median $1,023.29 Typical High $1,445.44 | Professional | None | $812.83 | $1,023.29 | $1,445.44 |
1 more rate 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 |
|---|---|---|---|---|---|
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $489.78 Median $616.60 Typical High $1,000.00 | Professional | 53 · Discontinued | $489.78 | $616.60 | $1,000.00 |
Where New York sits
The same service costs 3.2 times more in Alaska than in New York. 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· 51st of 51
$851
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.