How much rates vary
Facilitymedian $1,148 · 10th to 90th $501 to $1,995Professionalmedian $417 · 10th to 90th $170 to $1,175
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 $416.87 Median $630.96 Typical High $2,344.23 | Facility | None | $416.87 | $630.96 | $2,344.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $416.87 Typical High $660.69 | Professional | None (both parts) | $416.87 | $416.87 | $660.69 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $77.62 Median $309.03 Typical High $1,584.89 | Professional | None (both parts) | $77.62 | $309.03 | $1,584.89 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None (both parts) | $776.25 | $776.25 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,659.59 Typical High $1,995.26 | Facility | None | $691.83 | $1,659.59 | $1,995.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,096.48 Typical High $3,715.35 | Professional | None (both parts) | $891.25 | $1,096.48 | $3,715.35 |
Emblem Health Setting Facility Modifier None Typical Low $776.25 Median $1,288.25 Typical High $2,818.38 | Facility | None | $776.25 | $1,288.25 | $2,818.38 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $363.08 Median $467.74 Typical High $2,187.76 | Professional | None (both parts) | $363.08 | $467.74 | $2,187.76 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $467.74 Median $741.31 Typical High $851.14 | Professional | None (both parts) | $467.74 | $741.31 | $851.14 |
MVP Health Care Setting Facility Modifier None Typical Low $776.25 Median $1,380.38 Typical High $4,073.80 | Facility | None | $776.25 | $1,380.38 | $4,073.80 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $501.19 Median $501.19 Typical High $1,584.89 | Professional | None (both parts) | $501.19 | $501.19 | $1,584.89 |
United Setting Facility Modifier None Typical Low $691.83 Median $776.25 Typical High $954.99 | Facility | None | $691.83 | $776.25 | $954.99 |
United Setting Professional Modifier None (both parts) Typical Low $323.59 Median $457.09 Typical High $1,148.15 | Professional | None (both parts) | $323.59 | $457.09 | $1,148.15 |
Univera Setting Facility Modifier None Typical Low $501.19 Median $776.25 Typical High $891.25 | Facility | None | $501.19 | $776.25 | $891.25 |
Univera Setting Professional Modifier None (both parts) Typical Low $467.74 Median $741.31 Typical High $851.14 | Professional | None (both parts) | $467.74 | $741.31 | $851.14 |
4 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 26 · Professional part Typical Low $602.56 Median $660.69 Typical High $660.69 | Professional | 26 · Professional part | $602.56 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $208.93 Median $208.93 Typical High $331.13 | Professional | 52 · Reduced service | $208.93 | $208.93 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $131.83 | Professional | 53 · Discontinued | $85.11 | $85.11 | $131.83 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $177.83 Median $831.76 Typical High $1,202.26 | Facility | TC · Technical part | $177.83 | $831.76 | $1,202.26 |
Where New York sits
The same service costs 4.5 times more in Alaska than in New Mexico. 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
$468
AK $1,445NM $324
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.