How much rates vary
Facilitymedian $6,607 · 10th to 90th $1,380 to $25,704Professionalmedian $1,202 · 10th to 90th $977 to $2,455
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 $6,760.83 Typical High $15,488.17 | Facility | None | $1,513.56 | $6,760.83 | $15,488.17 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $363.08 Median $436.52 Typical High $1,071.52 | Facility | 26 · Professional part | $363.08 | $436.52 | $1,071.52 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $794.33 Median $1,071.52 Typical High $2,630.27 | Facility | TC · Technical part | $794.33 | $1,071.52 | $2,630.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,230.27 Typical High $4,168.69 | Professional | None (both parts) | $1,148.15 | $1,230.27 | $4,168.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $363.08 Typical High $707.95 | Professional | 26 · Professional part | $363.08 | $363.08 | $707.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $794.33 Typical High $1,548.82 | Professional | TC · Technical part | $794.33 | $794.33 | $1,548.82 |
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 $954.99 Median $1,148.15 Typical High $2,290.87 | Professional | None (both parts) | $954.99 | $1,148.15 | $2,290.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $363.08 Typical High $676.08 | Professional | 26 · Professional part | $302.00 | $363.08 | $676.08 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $776.25 Typical High $1,584.89 | Professional | TC · Technical part | $645.65 | $776.25 | $1,584.89 |
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 $524.81 Median $1,348.96 Typical High $1,862.09 | Professional | None (both parts) | $524.81 | $1,348.96 | $1,862.09 |
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 $1,348.96 Median $1,380.38 Typical High $4,073.80 | Professional | None (both parts) | $1,348.96 | $1,380.38 | $4,073.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $426.58 Typical High $1,230.27 | Professional | 26 · Professional part | $389.05 | $426.58 | $1,230.27 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $977.24 Median $977.24 Typical High $2,818.38 | Professional | TC · Technical part | $977.24 | $977.24 | $2,818.38 |
Emblem Health Setting Facility Modifier None Typical Low $676.08 Median $1,047.13 Typical High $3,311.31 | Facility | None | $676.08 | $1,047.13 | $3,311.31 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,513.56 Typical High $2,511.89 | Professional | None (both parts) | $1,174.90 | $1,513.56 | $2,511.89 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,174.90 Typical High $1,698.24 | Professional | None (both parts) | $977.24 | $1,174.90 | $1,698.24 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $346.74 Typical High $524.81 | Professional | 26 · Professional part | $295.12 | $346.74 | $524.81 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $812.83 Typical High $1,174.90 | Professional | TC · Technical part | $676.08 | $812.83 | $1,174.90 |
Highmark BCBS Setting Facility Modifier None Typical Low $4,466.84 Median $8,709.64 Typical High $13,489.63 | Facility | None | $4,466.84 | $8,709.64 | $13,489.63 |
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 $2,238.72 Median $2,238.72 Typical High $3,090.30 | Professional | None (both parts) | $2,238.72 | $2,238.72 | $3,090.30 |
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 $1,000.00 Median $1,548.82 Typical High $3,235.94 | Professional | None (both parts) | $1,000.00 | $1,548.82 | $3,235.94 |
United Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $457.09 Typical High $977.24 | Professional | 26 · Professional part | $302.00 | $457.09 | $977.24 |
United Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $1,071.52 Typical High $2,290.87 | Professional | TC · Technical part | $707.95 | $1,071.52 | $2,290.87 |
Univera Setting Facility Modifier None Typical Low $1,148.15 Median $1,174.90 Typical High $4,073.80 | Facility | None | $1,148.15 | $1,174.90 | $4,073.80 |
Univera Setting Facility Modifier 26 · Professional part Typical Low $302.00 Median $354.81 Typical High $1,258.93 | Facility | 26 · Professional part | $302.00 | $354.81 | $1,258.93 |
Univera Setting Facility Modifier TC · Technical part Typical Low $794.33 Median $870.96 Typical High $2,818.38 | Facility | TC · Technical part | $794.33 | $870.96 | $2,818.38 |
Univera Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,174.90 Typical High $1,698.24 | Professional | None (both parts) | $977.24 | $1,174.90 | $1,698.24 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $338.84 Typical High $524.81 | Professional | 26 · Professional part | $295.12 | $338.84 | $524.81 |
Univera Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $831.76 Typical High $1,174.90 | Professional | TC · Technical part | $676.08 | $831.76 | $1,174.90 |
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 $870.96 Median $870.96 Typical High $1,122.02 | Professional | 54 · Surgery only | $870.96 | $870.96 | $1,122.02 |
Where New York sits
The same service costs 3.9 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
$1,259
WI $4,898NY $1,259
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.