How much rates vary
Facilitymedian $6,457 · 10th to 90th $1,259 to $25,704Professionalmedian $724 · 10th to 90th $589 to $1,660
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 $1,348.96 Median $5,888.44 Typical High $13,803.84 | Facility | None | $1,348.96 | $5,888.44 | $13,803.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $707.95 Median $831.76 Typical High $2,630.27 | Professional | None (both parts) | $707.95 | $831.76 | $2,630.27 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $131.83 Typical High $257.04 | Professional | 26 · Professional part | $131.83 | $131.83 | $257.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $588.84 Typical High $1,318.26 | Professional | TC · Technical part | $575.44 | $588.84 | $1,318.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,513.56 Median $9,772.37 Typical High $28,183.83 | Facility | None | $1,513.56 | $9,772.37 | $28,183.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $575.44 Median $691.83 Typical High $1,479.11 | Professional | None (both parts) | $575.44 | $691.83 | $1,479.11 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $125.89 Typical High $234.42 | Professional | 26 · Professional part | $104.71 | $125.89 | $234.42 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $562.34 Typical High $1,258.93 | Professional | TC · Technical part | $467.74 | $562.34 | $1,258.93 |
CDPHP Setting Facility Modifier None Typical Low $3,467.37 Median $5,011.87 Typical High $15,135.61 | Facility | None | $3,467.37 | $5,011.87 | $15,135.61 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $181.97 Median $1,096.48 Typical High $1,288.25 | Professional | None (both parts) | $181.97 | $1,096.48 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $6,456.54 Typical High $40,738.03 | Facility | None | $2,454.71 | $6,456.54 | $40,738.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $912.01 Median $977.24 Typical High $2,691.53 | Professional | None (both parts) | $912.01 | $977.24 | $2,691.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $158.49 Typical High $426.58 | Professional | 26 · Professional part | $134.90 | $158.49 | $426.58 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $831.76 Typical High $2,238.72 | Professional | TC · Technical part | $812.83 | $831.76 | $2,238.72 |
Emblem Health Setting Facility Modifier None Typical Low $575.44 Median $891.25 Typical High $2,818.38 | Facility | None | $575.44 | $891.25 | $2,818.38 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,071.52 Typical High $1,862.09 | Professional | None (both parts) | $933.25 | $1,071.52 | $1,862.09 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $676.08 Median $812.83 Typical High $1,122.02 | Professional | None (both parts) | $676.08 | $812.83 | $1,122.02 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $117.49 Typical High $177.83 | Professional | 26 · Professional part | $104.71 | $117.49 | $177.83 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $691.83 Typical High $954.99 | Professional | TC · Technical part | $575.44 | $691.83 | $954.99 |
Highmark BCBS Setting Facility Modifier None Typical Low $4,466.84 Median $10,715.19 Typical High $12,882.50 | Facility | None | $4,466.84 | $10,715.19 | $12,882.50 |
MVP Health Care Setting Facility Modifier None Typical Low $5,754.40 Median $12,882.50 Typical High $18,620.87 | Facility | None | $5,754.40 | $12,882.50 | $18,620.87 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,000.00 Typical High $1,949.84 | Professional | None (both parts) | $1,000.00 | $1,000.00 | $1,949.84 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $3,890.45 Typical High $11,748.98 | Facility | None | $1,318.26 | $3,890.45 | $11,748.98 |
United Setting Professional Modifier None (both parts) Typical Low $707.95 Median $1,023.29 Typical High $2,137.96 | Professional | None (both parts) | $707.95 | $1,023.29 | $2,137.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $162.18 Typical High $346.74 | Professional | 26 · Professional part | $104.71 | $162.18 | $346.74 |
United Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $851.14 Typical High $1,778.28 | Professional | TC · Technical part | $602.56 | $851.14 | $1,778.28 |
Univera Setting Facility Modifier None Typical Low $794.33 Median $831.76 Typical High $2,511.89 | Facility | None | $794.33 | $831.76 | $2,511.89 |
Univera Setting Facility Modifier 26 · Professional part Typical Low $104.71 Median $125.89 Typical High $467.74 | Facility | 26 · Professional part | $104.71 | $125.89 | $467.74 |
Univera Setting Facility Modifier TC · Technical part Typical Low $676.08 Median $724.44 Typical High $2,041.74 | Facility | TC · Technical part | $676.08 | $724.44 | $2,041.74 |
Univera Setting Professional Modifier None (both parts) Typical Low $676.08 Median $812.83 Typical High $1,122.02 | Professional | None (both parts) | $676.08 | $812.83 | $1,122.02 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $117.49 Typical High $177.83 | Professional | 26 · Professional part | $104.71 | $117.49 | $177.83 |
Univera Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $707.95 Typical High $954.99 | Professional | TC · Technical part | $575.44 | $707.95 | $954.99 |
1 more rate 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 54 · Surgery only Typical Low $524.81 Median $524.81 Typical High $794.33 | Professional | 54 · Surgery only | $524.81 | $524.81 | $794.33 |
Where New York sits
The same service costs 4.3 times more in Wisconsin than in New York. 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· 51st of 51
$813
WI $3,467NY $813
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.