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 $57.54 Median $10,000.00 Typical High $43,651.58 | Facility | None | $57.54 | $10,000.00 | $43,651.58 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $69.18 | Professional | None | $57.54 | $57.54 | $69.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,288.25 Median $9,772.37 Typical High $28,183.83 | Facility | None | $1,288.25 | $9,772.37 | $28,183.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $48.98 Median $58.88 Typical High $107.15 | Professional | None | $48.98 | $58.88 | $107.15 |
CDPHP Setting Facility Modifier None Typical Low $1,148.15 Median $1,348.96 Typical High $4,073.80 | Facility | None | $1,148.15 | $1,348.96 | $4,073.80 |
CDPHP Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $10,232.93 Typical High $23,442.29 | Facility | None | $81.28 | $10,232.93 | $23,442.29 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $67.61 Typical High $186.21 | Professional | None | $64.57 | $67.61 | $186.21 |
Emblem Health Setting Facility Modifier None Typical Low $38.02 Median $57.54 Typical High $186.21 | Facility | None | $38.02 | $57.54 | $186.21 |
Emblem Health Setting Professional Modifier None Typical Low $58.88 Median $67.61 Typical High $120.23 | Professional | None | $58.88 | $67.61 | $120.23 |
Excellus BCBS Setting Professional Modifier None Typical Low $42.66 Median $50.12 Typical High $74.13 | Professional | None | $42.66 | $50.12 | $74.13 |
MVP Health Care Setting Facility Modifier None Typical Low $5,754.40 Median $12,882.50 Typical High $12,882.50 | Facility | None | $5,754.40 | $12,882.50 | $12,882.50 |
MVP Health Care Setting Professional Modifier None Typical Low $102.33 Median $112.20 Typical High $141.25 | Professional | None | $102.33 | $112.20 | $141.25 |
United Setting Facility Modifier None Typical Low $363.08 Median $1,318.26 Typical High $6,760.83 | Facility | None | $363.08 | $1,318.26 | $6,760.83 |
United Setting Professional Modifier None Typical Low $39.81 Median $64.57 Typical High $138.04 | Professional | None | $39.81 | $64.57 | $138.04 |
Univera Setting Facility Modifier None Typical Low $52.48 Median $54.95 Typical High $186.21 | Facility | None | $52.48 | $54.95 | $186.21 |
Univera Setting Professional Modifier None Typical Low $42.66 Median $54.95 Typical High $74.13 | Professional | None | $42.66 | $54.95 | $74.13 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $42.66 Median $42.66 Typical High $52.48 | Professional | 54 · Surgery only | $42.66 | $42.66 | $52.48 |
Where New York sits
The same service costs 3.5 times more in Wisconsin than in South Carolina. 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· 49th of 51
$63.10
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.