How much rates vary
Facilitymedian $6,918 · 10th to 90th $1,380 to $25,704Professionalmedian $1,072 · 10th to 90th $871 to $2,239
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 $2,570.40 Median $7,585.78 Typical High $16,218.10 | Facility | None | $2,570.40 | $7,585.78 | $16,218.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,023.29 Typical High $6,165.95 | Professional | None (both parts) | $1,023.29 | $1,023.29 | $6,165.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $309.03 Typical High $457.09 | Professional | 26 · Professional part | $309.03 | $309.03 | $457.09 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $724.44 Typical High $1,096.48 | Professional | TC · Technical part | $724.44 | $724.44 | $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 $851.14 Median $1,023.29 Typical High $2,041.74 | Professional | None (both parts) | $851.14 | $1,023.29 | $2,041.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $309.03 Typical High $575.44 | Professional | 26 · Professional part | $257.04 | $309.03 | $575.44 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $707.95 Typical High $1,479.11 | Professional | TC · Technical part | $588.84 | $707.95 | $1,479.11 |
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 $446.68 Median $1,288.25 Typical High $1,698.24 | Professional | None (both parts) | $446.68 | $1,288.25 | $1,698.24 |
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 $1,258.93 Median $1,288.25 Typical High $3,630.78 | Professional | None (both parts) | $1,258.93 | $1,288.25 | $3,630.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $363.08 Typical High $1,023.29 | Professional | 26 · Professional part | $331.13 | $363.08 | $1,023.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $933.25 Typical High $2,570.40 | Professional | TC · Technical part | $933.25 | $933.25 | $2,570.40 |
Emblem Health Setting Facility Modifier None Typical Low $645.65 Median $1,000.00 Typical High $3,162.28 | Facility | None | $645.65 | $1,000.00 | $3,162.28 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,412.54 Typical High $2,454.71 | Professional | None (both parts) | $1,230.27 | $1,412.54 | $2,454.71 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,071.52 Typical High $1,513.56 | Professional | None (both parts) | $891.25 | $1,071.52 | $1,513.56 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $295.12 Typical High $426.58 | Professional | 26 · Professional part | $251.19 | $295.12 | $426.58 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $758.58 Typical High $1,071.52 | Professional | TC · Technical part | $645.65 | $758.58 | $1,071.52 |
Highmark BCBS Setting Facility Modifier None Typical Low $13,182.57 Median $13,182.57 Typical High $13,182.57 | Facility | None | $13,182.57 | $13,182.57 | $13,182.57 |
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 $1,905.46 Median $1,905.46 Typical High $2,818.38 | Professional | None (both parts) | $1,905.46 | $1,905.46 | $2,818.38 |
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 $933.25 Median $1,412.54 Typical High $2,951.21 | Professional | None (both parts) | $933.25 | $1,412.54 | $2,951.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $389.05 Typical High $831.76 | Professional | 26 · Professional part | $257.04 | $389.05 | $831.76 |
United Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $1,023.29 Typical High $2,187.76 | Professional | TC · Technical part | $676.08 | $1,023.29 | $2,187.76 |
Univera Setting Facility Modifier None Typical Low $1,071.52 Median $1,096.48 Typical High $3,630.78 | Facility | None | $1,071.52 | $1,096.48 | $3,630.78 |
Univera Setting Facility Modifier 26 · Professional part Typical Low $251.19 Median $302.00 Typical High $1,071.52 | Facility | 26 · Professional part | $251.19 | $302.00 | $1,071.52 |
Univera Setting Facility Modifier TC · Technical part Typical Low $758.58 Median $831.76 Typical High $2,511.89 | Facility | TC · Technical part | $758.58 | $831.76 | $2,511.89 |
Univera Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,071.52 Typical High $1,513.56 | Professional | None (both parts) | $891.25 | $1,071.52 | $1,513.56 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $281.84 Typical High $426.58 | Professional | 26 · Professional part | $251.19 | $281.84 | $426.58 |
Univera Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $794.33 Typical High $1,071.52 | Professional | TC · Technical part | $645.65 | $794.33 | $1,071.52 |
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 $776.25 Median $776.25 Typical High $1,047.13 | Professional | 54 · Surgery only | $776.25 | $776.25 | $1,047.13 |
Where New York sits
The same service costs 4.0 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
$1,122
WI $4,467NY $1,122
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.