How much rates vary
Facilitymedian $2,239 · 10th to 90th $759 to $7,413Professionalmedian $1,660 · 10th to 90th $912 to $2,512
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 $1,548.82 Median $4,365.16 Typical High $8,128.31 | Facility | None | $1,548.82 | $4,365.16 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,258.93 Typical High $2,951.21 | Professional | None | $1,000.00 | $1,258.93 | $2,951.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,412.54 Median $1,737.80 Typical High $2,238.72 | Professional | None | $1,412.54 | $1,737.80 | $2,238.72 |
CDPHP Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,479.11 | $1,479.11 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,737.80 Typical High $2,754.23 | Facility | None | $851.14 | $1,737.80 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,412.54 Typical High $4,897.79 | Professional | None | $1,288.25 | $1,412.54 | $4,897.79 |
Emblem Health Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $4,073.80 | Facility | None | $1,202.26 | $1,949.84 | $4,073.80 |
Emblem Health Setting Professional Modifier None Typical Low $891.25 Median $1,698.24 Typical High $1,995.26 | Professional | None | $891.25 | $1,698.24 | $1,995.26 |
Excellus BCBS Setting Professional Modifier None Typical Low $776.25 Median $912.01 Typical High $1,659.59 | Professional | None | $776.25 | $912.01 | $1,659.59 |
Highmark 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 |
MVP Health Care Setting Facility Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $4,786.30 | Facility | None | $1,905.46 | $1,905.46 | $4,786.30 |
MVP Health Care Setting Professional Modifier None Typical Low $1,445.44 Median $2,511.89 Typical High $2,691.53 | Professional | None | $1,445.44 | $2,511.89 | $2,691.53 |
United Setting Facility Modifier None Typical Low $575.44 Median $1,698.24 Typical High $6,165.95 | Facility | None | $575.44 | $1,698.24 | $6,165.95 |
United Setting Professional Modifier None Typical Low $1,000.00 Median $1,621.81 Typical High $3,162.28 | Professional | None | $1,000.00 | $1,621.81 | $3,162.28 |
Univera Setting Facility Modifier None Typical Low $912.01 Median $933.25 Typical High $1,230.27 | Facility | None | $912.01 | $933.25 | $1,230.27 |
Univera Setting Professional Modifier None Typical Low $776.25 Median $912.01 Typical High $1,445.44 | Professional | None | $776.25 | $912.01 | $1,445.44 |
10 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 52 · Reduced service Typical Low $501.19 Median $630.96 Typical High $630.96 | Professional | 52 · Reduced service | $501.19 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $251.19 Typical High $251.19 | Professional | 53 · Discontinued | $204.17 | $251.19 | $251.19 |
Excellus BCBS Setting Professional Modifier U7 · State-defined Typical Low $776.25 Median $891.25 Typical High $1,659.59 | Professional | U7 · State-defined | $776.25 | $891.25 | $1,659.59 |
Excellus BCBS Setting Professional Modifier U8 · State-defined Typical Low $194.98 Median $218.78 Typical High $416.87 | Professional | U8 · State-defined | $194.98 | $218.78 | $416.87 |
Excellus BCBS Setting Professional Modifier U9 · State-defined Typical Low $776.25 Median $891.25 Typical High $1,659.59 | Professional | U9 · State-defined | $776.25 | $891.25 | $1,659.59 |
Highmark BCBS Setting Professional Modifier U7 · State-defined Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | U7 · State-defined | $2,511.89 | $2,511.89 | $2,511.89 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $524.81 Median $724.44 Typical High $1,412.54 | Professional | 53 · Discontinued | $524.81 | $724.44 | $1,412.54 |
Univera Setting Professional Modifier U7 · State-defined Typical Low $776.25 Median $891.25 Typical High $1,659.59 | Professional | U7 · State-defined | $776.25 | $891.25 | $1,659.59 |
Univera Setting Professional Modifier U8 · State-defined Typical Low $194.98 Median $218.78 Typical High $416.87 | Professional | U8 · State-defined | $194.98 | $218.78 | $416.87 |
Univera Setting Professional Modifier U9 · State-defined Typical Low $776.25 Median $891.25 Typical High $1,659.59 | Professional | U9 · State-defined | $776.25 | $891.25 | $1,659.59 |
Where New York sits
The same service costs 4.5 times more in Wisconsin than in Delaware. 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.
Physician feeFacility fee
WI $7,760DE $1,723
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.