How much rates vary
Facilitymedian $6,918 · 10th to 90th $1,318 to $25,704Professionalmedian $832 · 10th to 90th $661 to $1,738
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 $2,818.38 Median $7,585.78 Typical High $16,218.10 | Facility | None | $2,818.38 | $7,585.78 | $16,218.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $794.33 Median $794.33 Typical High $4,786.30 | Professional | None (both parts) | $794.33 | $794.33 | $4,786.30 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $229.09 Typical High $354.81 | Professional | 26 · Professional part | $229.09 | $229.09 | $354.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $562.34 Typical High $1,096.48 | Professional | TC · Technical part | $562.34 | $562.34 | $1,096.48 |
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 $660.69 Median $776.25 Typical High $1,584.89 | Professional | None (both parts) | $660.69 | $776.25 | $1,584.89 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $229.09 Typical High $426.58 | Professional | 26 · Professional part | $190.55 | $229.09 | $426.58 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $549.54 Typical High $1,174.90 | Professional | TC · Technical part | $457.09 | $549.54 | $1,174.90 |
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 $331.13 Median $1,023.29 Typical High $1,348.96 | Professional | None (both parts) | $331.13 | $1,023.29 | $1,348.96 |
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 $1,000.00 Median $1,000.00 Typical High $2,818.38 | Professional | None (both parts) | $1,000.00 | $1,000.00 | $2,818.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $275.42 Typical High $758.58 | Professional | 26 · Professional part | $245.47 | $275.42 | $758.58 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $741.31 Typical High $2,041.74 | Professional | TC · Technical part | $741.31 | $741.31 | $2,041.74 |
Emblem Health Setting Facility Modifier None Typical Low $512.86 Median $794.33 Typical High $2,511.89 | Facility | None | $512.86 | $794.33 | $2,511.89 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,096.48 Typical High $1,949.84 | Professional | None (both parts) | $954.99 | $1,096.48 | $1,949.84 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $707.95 Median $831.76 Typical High $1,174.90 | Professional | None (both parts) | $707.95 | $831.76 | $1,174.90 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $213.80 Typical High $316.23 | Professional | 26 · Professional part | $186.21 | $213.80 | $316.23 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $616.60 Typical High $870.96 | Professional | TC · Technical part | $512.86 | $616.60 | $870.96 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $6,606.93 Median $6,606.93 Typical High $6,606.93 | Facility | TC · Technical part | $6,606.93 | $6,606.93 | $6,606.93 |
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 $1,445.44 Median $1,445.44 Typical High $2,238.72 | Professional | None (both parts) | $1,445.44 | $1,445.44 | $2,238.72 |
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 $724.44 Median $1,096.48 Typical High $2,290.87 | Professional | None (both parts) | $724.44 | $1,096.48 | $2,290.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $288.40 Typical High $616.60 | Professional | 26 · Professional part | $194.98 | $288.40 | $616.60 |
United Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $794.33 Typical High $1,698.24 | Professional | TC · Technical part | $537.03 | $794.33 | $1,698.24 |
Univera Setting Facility Modifier None Typical Low $831.76 Median $851.14 Typical High $2,754.23 | Facility | None | $831.76 | $851.14 | $2,754.23 |
Univera Setting Facility Modifier 26 · Professional part Typical Low $190.55 Median $223.87 Typical High $812.83 | Facility | 26 · Professional part | $190.55 | $223.87 | $812.83 |
Univera Setting Facility Modifier TC · Technical part Typical Low $602.56 Median $676.08 Typical High $1,949.84 | Facility | TC · Technical part | $602.56 | $676.08 | $1,949.84 |
Univera Setting Professional Modifier None (both parts) Typical Low $707.95 Median $851.14 Typical High $1,174.90 | Professional | None (both parts) | $707.95 | $851.14 | $1,174.90 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $213.80 Typical High $316.23 | Professional | 26 · Professional part | $186.21 | $213.80 | $316.23 |
Univera Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $630.96 Typical High $870.96 | Professional | TC · Technical part | $512.86 | $630.96 | $870.96 |
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 $602.56 Median $602.56 Typical High $831.76 | Professional | 54 · Surgery only | $602.56 | $602.56 | $831.76 |
Where New York sits
The same service costs 4.2 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
$871
WI $3,631NY $871
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.