How much rates vary
Facilitymedian $1,820 · 10th to 90th $288 to $36,308Professionalmedian $275 · 10th to 90th $234 to $457
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 $269.15 Median $4,168.69 Typical High $10,232.93 | Facility | None | $269.15 | $4,168.69 | $10,232.93 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $89.13 Median $109.65 Typical High $269.15 | Facility | 26 · Professional part | $89.13 | $109.65 | $269.15 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $169.82 Median $199.53 Typical High $204.17 | Facility | TC · Technical part | $169.82 | $199.53 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $363.08 | Professional | None (both parts) | $257.04 | $257.04 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $91.20 Typical High $173.78 | Professional | 26 · Professional part | $89.13 | $91.20 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $169.82 Typical High $208.93 | Professional | TC · Technical part | $169.82 | $169.82 | $208.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $47,863.01 Median $47,863.01 Typical High $47,863.01 | Facility | None | $47,863.01 | $47,863.01 | $47,863.01 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $229.09 Median $275.42 Typical High $338.84 | Professional | None (both parts) | $229.09 | $275.42 | $338.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $97.72 Typical High $165.96 | Professional | 26 · Professional part | $79.43 | $97.72 | $165.96 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $177.83 Typical High $223.87 | Professional | TC · Technical part | $147.91 | $177.83 | $223.87 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $131.83 Median $245.47 Typical High $380.19 | Professional | None (both parts) | $131.83 | $245.47 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $10,232.93 Median $42,657.95 Typical High $51,286.14 | Facility | None | $10,232.93 | $42,657.95 | $51,286.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $309.03 Typical High $870.96 | Professional | None (both parts) | $288.40 | $309.03 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $104.71 Typical High $302.00 | Professional | 26 · Professional part | $97.72 | $104.71 | $302.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $204.17 Typical High $575.44 | Professional | TC · Technical part | $186.21 | $204.17 | $575.44 |
Emblem Health Setting Facility Modifier None Typical Low $234.42 Median $588.84 Typical High $43,651.58 | Facility | None | $234.42 | $588.84 | $43,651.58 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $338.84 Median $389.05 Typical High $691.83 | Professional | None (both parts) | $338.84 | $389.05 | $691.83 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $223.87 Median $257.04 Typical High $426.58 | Professional | None (both parts) | $223.87 | $257.04 | $426.58 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $85.11 Typical High $131.83 | Professional | 26 · Professional part | $74.13 | $85.11 | $131.83 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $173.78 Typical High $288.40 | Professional | TC · Technical part | $147.91 | $173.78 | $288.40 |
Highmark BCBS Setting Facility Modifier None Typical Low $501.19 Median $870.96 Typical High $2,398.83 | Facility | None | $501.19 | $870.96 | $2,398.83 |
MVP Health Care Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $223.87 Median $331.13 Typical High $331.13 | Professional | None (both parts) | $223.87 | $331.13 | $331.13 |
United Setting Facility Modifier None Typical Low $363.08 Median $1,318.26 Typical High $4,365.16 | Facility | None | $363.08 | $1,318.26 | $4,365.16 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $354.81 Typical High $758.58 | Professional | None (both parts) | $251.19 | $354.81 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $112.20 Typical High $245.47 | Professional | 26 · Professional part | $77.62 | $112.20 | $245.47 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $245.47 Typical High $537.03 | Professional | TC · Technical part | $169.82 | $245.47 | $537.03 |
Univera Setting Facility Modifier None Typical Low $223.87 Median $288.40 Typical High $1,047.13 | Facility | None | $223.87 | $288.40 | $1,047.13 |
Univera Setting Facility Modifier 26 · Professional part Typical Low $75.86 Median $91.20 Typical High $354.81 | Facility | 26 · Professional part | $75.86 | $91.20 | $354.81 |
Univera Setting Facility Modifier TC · Technical part Typical Low $147.91 Median $194.98 Typical High $660.69 | Facility | TC · Technical part | $147.91 | $194.98 | $660.69 |
Univera Setting Professional Modifier None (both parts) Typical Low $223.87 Median $257.04 Typical High $426.58 | Professional | None (both parts) | $223.87 | $257.04 | $426.58 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $85.11 Typical High $131.83 | Professional | 26 · Professional part | $74.13 | $85.11 | $131.83 |
Univera Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $173.78 Typical High $288.40 | Professional | TC · Technical part | $147.91 | $173.78 | $288.40 |
2 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 $128.82 Median $128.82 Typical High $154.88 | Professional | 52 · Reduced service | $128.82 | $128.82 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $61.66 | Professional | 53 · Discontinued | $51.29 | $51.29 | $61.66 |
Where New York sits
The same service costs 6.5 times more in Wisconsin than in Hawaii. 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· 43rd of 51
$282
WI $891HI $138
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.