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 $645.65 Median $1,047.13 Typical High $1,905.46 | Facility | None | $645.65 | $1,047.13 | $1,905.46 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $1,047.13 | Professional | None | $645.65 | $645.65 | $1,047.13 |
Ambetter Setting Professional Modifier None Typical Low $645.65 Median $724.44 Typical High $741.31 | Professional | None | $645.65 | $724.44 | $741.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $812.83 Median $954.99 Typical High $1,071.52 | Professional | None | $812.83 | $954.99 | $1,071.52 |
CDPHP Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None | $977.24 | $977.24 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,174.90 Typical High $4,466.84 | Facility | None | $660.69 | $1,174.90 | $4,466.84 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $933.25 Typical High $1,949.84 | Professional | None | $870.96 | $933.25 | $1,949.84 |
Emblem Health Setting Facility Modifier None Typical Low $537.03 Median $912.01 Typical High $3,019.95 | Facility | None | $537.03 | $912.01 | $3,019.95 |
Emblem Health Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,348.96 | Professional | None | $912.01 | $912.01 | $1,348.96 |
Excellus BCBS Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
Excellus BCBS Setting Professional Modifier None Typical Low $616.60 Median $724.44 Typical High $1,122.02 | Professional | None | $616.60 | $724.44 | $1,122.02 |
MVP Health Care Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
MVP Health Care Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $977.24 | Professional | None | $707.95 | $707.95 | $977.24 |
United Setting Facility Modifier None Typical Low $758.58 Median $870.96 Typical High $1,071.52 | Facility | None | $758.58 | $870.96 | $1,071.52 |
United Setting Professional Modifier None Typical Low $537.03 Median $870.96 Typical High $1,380.38 | Professional | None | $537.03 | $870.96 | $1,380.38 |
Univera Setting Facility Modifier None Typical Low $741.31 Median $812.83 Typical High $977.24 | Facility | None | $741.31 | $812.83 | $977.24 |
Univera Setting Professional Modifier None Typical Low $616.60 Median $724.44 Typical High $1,047.13 | Professional | None | $616.60 | $724.44 | $1,047.13 |
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 |
|---|---|---|---|---|---|
Fidelis Setting Professional Modifier 59 · Distinct service Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | 59 · Distinct service | $851.14 | $851.14 | $851.14 |
Where New York sits
The same service costs 3.2 times more in Alaska than in Kentucky. 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· 24th of 51
$912
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.