How much rates vary
Facilitymedian $631 · 10th to 90th $479 to $2,138Professionalmedian $813 · 10th to 90th $646 to $1,820
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 $812.83 Median $1,000.00 Typical High $18,197.01 | Facility | None | $812.83 | $1,000.00 | $18,197.01 |
Aetna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,000.00 Typical High $1,698.24 | Professional | None (both parts) | $870.96 | $1,000.00 | $1,698.24 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $457.09 Median $512.86 Typical High $776.25 | Professional | 26 · Professional part | $457.09 | $512.86 | $776.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $478.63 Typical High $831.76 | Professional | TC · Technical part | $323.59 | $478.63 | $831.76 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $645.65 Median $758.58 Typical High $1,621.81 | Professional | None (both parts) | $645.65 | $758.58 | $1,621.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $416.87 Typical High $870.96 | Professional | 26 · Professional part | $354.81 | $416.87 | $870.96 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $104.71 Median $123.03 Typical High $263.03 | Professional | 80 · Assistant surgeon | $104.71 | $123.03 | $263.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $346.74 Typical High $724.44 | Professional | TC · Technical part | $295.12 | $346.74 | $724.44 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $602.56 Median $645.65 Typical High $1,258.93 | Professional | None (both parts) | $602.56 | $645.65 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $1,513.56 Typical High $2,187.76 | Facility | None | $1,148.15 | $1,513.56 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $812.83 Median $1,000.00 Typical High $3,019.95 | Professional | None (both parts) | $812.83 | $1,000.00 | $3,019.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $398.11 Median $524.81 Typical High $1,584.89 | Professional | 26 · Professional part | $398.11 | $524.81 | $1,584.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $436.52 Typical High $1,445.44 | Professional | TC · Technical part | $346.74 | $436.52 | $1,445.44 |
Emblem Health Setting Facility Modifier None Typical Low $436.52 Median $588.84 Typical High $2,344.23 | Facility | None | $436.52 | $588.84 | $2,344.23 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,202.26 Typical High $1,778.28 | Professional | None (both parts) | $977.24 | $1,202.26 | $1,778.28 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $467.74 Median $602.56 Typical High $851.14 | Professional | 26 · Professional part | $467.74 | $602.56 | $851.14 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $616.60 Typical High $933.25 | Professional | TC · Technical part | $537.03 | $616.60 | $933.25 |
Excellus BCBS Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | TC · Technical part | $316.23 | $316.23 | $316.23 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $691.83 Median $891.25 Typical High $1,174.90 | Professional | None (both parts) | $691.83 | $891.25 | $1,174.90 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $446.68 Typical High $602.56 | Professional | 26 · Professional part | $389.05 | $446.68 | $602.56 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $446.68 Typical High $588.84 | Professional | TC · Technical part | $309.03 | $446.68 | $588.84 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $1,122.02 | Facility | None | $107.15 | $257.04 | $1,122.02 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $954.99 Median $954.99 Typical High $2,089.30 | Professional | None (both parts) | $954.99 | $954.99 | $2,089.30 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $512.86 Median $602.56 Typical High $933.25 | Professional | 26 · Professional part | $512.86 | $602.56 | $933.25 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $537.03 Typical High $933.25 | Professional | TC · Technical part | $446.68 | $537.03 | $933.25 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $1,621.81 Typical High $1,995.26 | Facility | None | $1,412.54 | $1,621.81 | $1,995.26 |
United Setting Professional Modifier None (both parts) Typical Low $676.08 Median $933.25 Typical High $2,511.89 | Professional | None (both parts) | $676.08 | $933.25 | $2,511.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $501.19 Typical High $1,318.26 | Professional | 26 · Professional part | $354.81 | $501.19 | $1,318.26 |
United Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $467.74 Typical High $1,202.26 | Professional | TC · Technical part | $338.84 | $467.74 | $1,202.26 |
Univera Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $977.24 | Facility | None | $524.81 | $524.81 | $977.24 |
Univera Setting Facility Modifier TC · Technical part Typical Low $316.23 Median $316.23 Typical High $575.44 | Facility | TC · Technical part | $316.23 | $316.23 | $575.44 |
Univera Setting Professional Modifier None (both parts) Typical Low $691.83 Median $870.96 Typical High $1,174.90 | Professional | None (both parts) | $691.83 | $870.96 | $1,174.90 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $446.68 Typical High $630.96 | Professional | 26 · Professional part | $389.05 | $446.68 | $630.96 |
Univera Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $436.52 Typical High $588.84 | Professional | TC · Technical part | $309.03 | $436.52 | $588.84 |
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 $446.68 Median $501.19 Typical High $501.19 | Professional | 52 · Reduced service | $446.68 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $199.53 Typical High $199.53 | Professional | 53 · Discontinued | $177.83 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $691.83 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $616.60 | $691.83 | $691.83 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $707.95 Median $794.33 Typical High $794.33 | Professional | FX · Film X-ray | $707.95 | $794.33 | $794.33 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $478.63 Median $575.44 Typical High $933.25 | Professional | 53 · Discontinued | $478.63 | $575.44 | $933.25 |
Where New York sits
The same service costs 5.6 times more in Alaska than in Florida. 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
$813
AK $3,715FL $661
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.