How much rates vary
Facilitymedian $1,349 · 10th to 90th $174 to $7,413Professionalmedian $170 · 10th to 90th $123 to $263
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 $186.21 Median $5,754.40 Typical High $10,964.78 | Facility | None | $186.21 | $5,754.40 | $10,964.78 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $70.79 Median $87.10 Typical High $213.80 | Facility | 26 · Professional part | $70.79 | $87.10 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $218.78 | Professional | None (both parts) | $154.88 | $154.88 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $147.91 | Professional | 26 · Professional part | $70.79 | $70.79 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $107.15 | Professional | TC · Technical part | $85.11 | $85.11 | $107.15 |
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 $102.33 Median $158.49 Typical High $186.21 | Professional | None (both parts) | $102.33 | $158.49 | $186.21 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $77.62 Typical High $134.90 | Professional | 26 · Professional part | $64.57 | $77.62 | $134.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $87.10 Typical High $128.82 | Professional | TC · Technical part | $72.44 | $87.10 | $128.82 |
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 $104.71 Median $123.03 Typical High $229.09 | Professional | None (both parts) | $104.71 | $123.03 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $10,232.93 Typical High $45,708.82 | Facility | None | $257.04 | $10,232.93 | $45,708.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $186.21 Typical High $537.03 | Professional | None (both parts) | $173.78 | $186.21 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $83.18 Typical High $239.88 | Professional | 26 · Professional part | $79.43 | $83.18 | $239.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $102.33 Typical High $288.40 | Professional | TC · Technical part | $95.50 | $102.33 | $288.40 |
Emblem Health Setting Facility Modifier None Typical Low $120.23 Median $169.82 Typical High $426.58 | Facility | None | $120.23 | $169.82 | $426.58 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $199.53 Median $229.09 Typical High $407.38 | Professional | None (both parts) | $199.53 | $229.09 | $407.38 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $134.90 Median $154.88 Typical High $245.47 | Professional | None (both parts) | $134.90 | $154.88 | $245.47 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $67.61 Typical High $102.33 | Professional | 26 · Professional part | $58.88 | $67.61 | $102.33 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $89.13 Typical High $144.54 | Professional | TC · Technical part | $74.13 | $89.13 | $144.54 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
MVP Health Care Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $181.97 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $181.97 | $223.87 | $223.87 |
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 $151.36 Median $208.93 Typical High $457.09 | Professional | None (both parts) | $151.36 | $208.93 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $91.20 Typical High $194.98 | Professional | 26 · Professional part | $61.66 | $91.20 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $123.03 Typical High $269.15 | Professional | TC · Technical part | $85.11 | $123.03 | $269.15 |
Univera Setting Facility Modifier None Typical Low $134.90 Median $173.78 Typical High $630.96 | Facility | None | $134.90 | $173.78 | $630.96 |
Univera Setting Facility Modifier 26 · Professional part Typical Low $60.26 Median $72.44 Typical High $288.40 | Facility | 26 · Professional part | $60.26 | $72.44 | $288.40 |
Univera Setting Facility Modifier TC · Technical part Typical Low $74.13 Median $100.00 Typical High $331.13 | Facility | TC · Technical part | $74.13 | $100.00 | $331.13 |
Univera Setting Professional Modifier None (both parts) Typical Low $134.90 Median $154.88 Typical High $245.47 | Professional | None (both parts) | $134.90 | $154.88 | $245.47 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $67.61 Typical High $102.33 | Professional | 26 · Professional part | $58.88 | $67.61 | $102.33 |
Univera Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $89.13 Typical High $144.54 | Professional | TC · Technical part | $74.13 | $89.13 | $144.54 |
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 $77.62 Median $77.62 Typical High $93.33 | Professional | 52 · Reduced service | $77.62 | $77.62 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $38.02 | Professional | 53 · Discontinued | $30.90 | $30.90 | $38.02 |
Where New York sits
The same service costs 4.3 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
$170
WI $562HI $132
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.