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 $1,412.54 Median $1,659.59 Typical High $1,737.80 | Facility | None | $1,412.54 | $1,659.59 | $1,737.80 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,737.80 | Professional | None | $1,412.54 | $1,412.54 | $1,737.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $954.99 | Facility | None | $933.25 | $933.25 | $954.99 |
Anthem BCBS 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 |
CDPHP Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | None | $2,187.76 | $2,187.76 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $2,630.27 | Facility | None | $1,659.59 | $1,659.59 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,737.80 | $1,737.80 | $1,737.80 |
Emblem Health Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,818.38 | Facility | None | $1,737.80 | $1,737.80 | $2,818.38 |
Emblem Health Setting Professional Modifier None Typical Low $1,479.11 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,479.11 | $1,737.80 | $1,737.80 |
Excellus BCBS Setting Facility Modifier None Typical Low $1,737.80 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,737.80 | $1,819.70 | $1,819.70 |
Excellus BCBS Setting Professional Modifier None Typical Low $1,737.80 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,737.80 | $1,819.70 | $1,819.70 |
United Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
United Setting Professional Modifier None Typical Low $1,698.24 Median $1,819.70 Typical High $2,570.40 | Professional | None | $1,698.24 | $1,819.70 | $2,570.40 |
Univera Setting Facility Modifier None Typical Low $1,737.80 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,737.80 | $1,819.70 | $1,819.70 |
Univera Setting Professional Modifier None Typical Low $1,737.80 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,737.80 | $1,819.70 | $1,819.70 |
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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Facility Modifier 59 · Distinct service Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | 59 · Distinct service | $1,819.70 | $1,819.70 | $1,819.70 |
Where New York sits
The same service costs 1.7 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· 48th of 51
$1,698
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.