How much rates vary
Facilitymedian $2,291 · 10th to 90th $145 to $4,467Professionalmedian $85 · 10th to 90th $58 to $182
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 $93.33 Median $104.71 Typical High $199.53 | Facility | None | $93.33 | $104.71 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $104.71 Typical High $194.98 | Professional | None (both parts) | $93.33 | $104.71 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $58.88 Typical High $102.33 | Professional | 26 · Professional part | $48.98 | $58.88 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $45.71 Typical High $93.33 | Professional | TC · Technical part | $41.69 | $45.71 | $93.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $933.25 Median $3,162.28 Typical High $4,897.79 | Facility | None | $933.25 | $3,162.28 | $4,897.79 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $39.81 Median $77.62 Typical High $158.49 | Professional | None (both parts) | $39.81 | $77.62 | $158.49 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $46.77 Typical High $89.13 | Professional | 26 · Professional part | $38.02 | $46.77 | $89.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $35.48 Typical High $83.18 | Professional | TC · Technical part | $30.20 | $35.48 | $83.18 |
CDPHP Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $4,073.80 | Facility | None | $1,348.96 | $1,348.96 | $4,073.80 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $50.12 Median $63.10 Typical High $114.82 | Professional | None (both parts) | $50.12 | $63.10 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $144.54 Typical High $1,479.11 | Facility | None | $74.13 | $144.54 | $1,479.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $102.33 Typical High $478.63 | Professional | None (both parts) | $75.86 | $102.33 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $57.54 Typical High $251.19 | Professional | 26 · Professional part | $42.66 | $57.54 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $46.77 Typical High $190.55 | Professional | TC · Technical part | $31.62 | $46.77 | $190.55 |
Emblem Health Setting Facility Modifier None Typical Low $38.02 Median $64.57 Typical High $213.80 | Facility | None | $38.02 | $64.57 | $213.80 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $107.15 Median $131.83 Typical High $204.17 | Professional | None (both parts) | $107.15 | $131.83 | $204.17 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $64.57 Typical High $107.15 | Professional | 26 · Professional part | $50.12 | $64.57 | $107.15 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $69.18 Typical High $97.72 | Professional | TC · Technical part | $56.23 | $69.18 | $97.72 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $66.07 Median $97.72 Typical High $109.65 | Professional | None (both parts) | $66.07 | $97.72 | $109.65 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $45.71 Typical High $57.54 | Professional | 26 · Professional part | $33.88 | $45.71 | $57.54 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $50.12 Typical High $60.26 | Professional | TC · Technical part | $31.62 | $50.12 | $60.26 |
MVP Health Care Setting Facility Modifier None Typical Low $87.10 Median $39,810.72 Typical High $58,884.37 | Facility | None | $87.10 | $39,810.72 | $58,884.37 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $257.04 | Professional | None (both parts) | $104.71 | $104.71 | $257.04 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $63.10 Typical High $97.72 | Professional | 26 · Professional part | $45.71 | $63.10 | $97.72 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $46.77 Typical High $81.28 | Professional | TC · Technical part | $34.67 | $46.77 | $81.28 |
United Setting Facility Modifier None Typical Low $363.08 Median $1,148.15 Typical High $4,365.16 | Facility | None | $363.08 | $1,148.15 | $4,365.16 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $120.23 Typical High $275.42 | Professional | None (both parts) | $75.86 | $120.23 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $66.07 Typical High $151.36 | Professional | 26 · Professional part | $40.74 | $66.07 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $53.70 Typical High $123.03 | Professional | TC · Technical part | $35.48 | $53.70 | $123.03 |
Univera Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $338.84 | Facility | None | $77.62 | $77.62 | $338.84 |
Univera Setting Facility Modifier 26 · Professional part Typical Low $34.67 Median $40.74 Typical High $169.82 | Facility | 26 · Professional part | $34.67 | $40.74 | $169.82 |
Univera Setting Facility Modifier TC · Technical part Typical Low $37.15 Median $42.66 Typical High $169.82 | Facility | TC · Technical part | $37.15 | $42.66 | $169.82 |
Univera Setting Professional Modifier None (both parts) Typical Low $66.07 Median $97.72 Typical High $109.65 | Professional | None (both parts) | $66.07 | $97.72 | $109.65 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $45.71 Typical High $57.54 | Professional | 26 · Professional part | $33.88 | $45.71 | $57.54 |
Univera Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $47.86 Typical High $60.26 | Professional | TC · Technical part | $31.62 | $47.86 | $60.26 |
5 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 $46.77 Median $52.48 Typical High $53.70 | Professional | 52 · Reduced service | $46.77 | $52.48 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $20.89 Typical High $21.38 | Professional | 53 · Discontinued | $18.62 | $20.89 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $15.49 Typical High $16.22 | Professional | 55 · Aftercare only | $13.80 | $15.49 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $10.47 Typical High $10.72 | Professional | 56 · Pre-op care only | $9.33 | $10.47 | $10.72 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $54.95 Typical High $85.11 | Professional | 53 · Discontinued | $39.81 | $54.95 | $85.11 |
Where New York sits
The same service costs 5.9 times more in Alaska than in Alabama. 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· 47th of 51
$87.10
AK $331AL $56.23
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.