How much rates vary
Facilitymedian $6,761 · 10th to 90th $1,259 to $25,704Professionalmedian $955 · 10th to 90th $794 to $1,995
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 $1,513.56 Median $7,413.10 Typical High $15,848.93 | Facility | None | $1,513.56 | $7,413.10 | $15,848.93 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $269.15 Median $323.59 Typical High $794.33 | Facility | 26 · Professional part | $269.15 | $323.59 | $794.33 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $676.08 Median $912.01 Typical High $2,238.72 | Facility | TC · Technical part | $676.08 | $912.01 | $2,238.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $933.25 Median $933.25 Typical High $4,265.80 | Professional | None (both parts) | $933.25 | $933.25 | $4,265.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $269.15 Typical High $457.09 | Professional | 26 · Professional part | $269.15 | $269.15 | $457.09 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $676.08 Typical High $1,230.27 | Professional | TC · Technical part | $676.08 | $676.08 | $1,230.27 |
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 $776.25 Median $933.25 Typical High $1,862.09 | Professional | None (both parts) | $776.25 | $933.25 | $1,862.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $269.15 Typical High $501.19 | Professional | 26 · Professional part | $223.87 | $269.15 | $501.19 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $660.69 Typical High $1,318.26 | Professional | TC · Technical part | $549.54 | $660.69 | $1,318.26 |
CDPHP Setting Facility Modifier None Typical Low $3,388.44 Median $5,011.87 Typical High $15,135.61 | Facility | None | $3,388.44 | $5,011.87 | $15,135.61 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $389.05 Median $1,122.02 Typical High $1,513.56 | Professional | None (both parts) | $389.05 | $1,122.02 | $1,513.56 |
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 $1,096.48 Median $1,122.02 Typical High $3,311.31 | Professional | None (both parts) | $1,096.48 | $1,122.02 | $3,311.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $323.59 Typical High $912.01 | Professional | 26 · Professional part | $288.40 | $323.59 | $912.01 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $831.76 Typical High $2,344.23 | Professional | TC · Technical part | $812.83 | $831.76 | $2,344.23 |
Emblem Health Setting Facility Modifier None Typical Low $562.34 Median $870.96 Typical High $2,754.23 | Facility | None | $562.34 | $870.96 | $2,754.23 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,258.93 Typical High $2,041.74 | Professional | None (both parts) | $954.99 | $1,258.93 | $2,041.74 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $794.33 Median $933.25 Typical High $1,380.38 | Professional | None (both parts) | $794.33 | $933.25 | $1,380.38 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $257.04 Typical High $389.05 | Professional | 26 · Professional part | $218.78 | $257.04 | $389.05 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $676.08 Typical High $1,000.00 | Professional | TC · Technical part | $575.44 | $676.08 | $1,000.00 |
Highmark BCBS Setting Facility Modifier None Typical Low $11,481.54 Median $11,481.54 Typical High $12,589.25 | Facility | None | $11,481.54 | $11,481.54 | $12,589.25 |
MVP Health Care Setting Facility Modifier None Typical Low $5,754.40 Median $12,882.50 Typical High $26,302.68 | Facility | None | $5,754.40 | $12,882.50 | $26,302.68 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $1,698.24 Typical High $2,511.89 | Professional | None (both parts) | $1,698.24 | $1,698.24 | $2,511.89 |
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 $812.83 Median $1,258.93 Typical High $2,630.27 | Professional | None (both parts) | $812.83 | $1,258.93 | $2,630.27 |
United Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $338.84 Typical High $724.44 | Professional | 26 · Professional part | $229.09 | $338.84 | $724.44 |
United Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $912.01 Typical High $1,905.46 | Professional | TC · Technical part | $588.84 | $912.01 | $1,905.46 |
Univera Setting Facility Modifier None Typical Low $933.25 Median $954.99 Typical High $3,311.31 | Facility | None | $933.25 | $954.99 | $3,311.31 |
Univera Setting Facility Modifier 26 · Professional part Typical Low $223.87 Median $263.03 Typical High $954.99 | Facility | 26 · Professional part | $223.87 | $263.03 | $954.99 |
Univera Setting Facility Modifier TC · Technical part Typical Low $676.08 Median $741.31 Typical High $2,344.23 | Facility | TC · Technical part | $676.08 | $741.31 | $2,344.23 |
Univera Setting Professional Modifier None (both parts) Typical Low $794.33 Median $954.99 Typical High $1,380.38 | Professional | None (both parts) | $794.33 | $954.99 | $1,380.38 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $251.19 Typical High $389.05 | Professional | 26 · Professional part | $218.78 | $251.19 | $389.05 |
Univera Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $691.83 Typical High $1,000.00 | Professional | TC · Technical part | $575.44 | $691.83 | $1,000.00 |
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 $707.95 Median $707.95 Typical High $912.01 | Professional | 54 · Surgery only | $707.95 | $707.95 | $912.01 |
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
$1,023
WI $4,074NY $1,023
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.