How much rates vary
Facilitymedian $5,012 · 10th to 90th $759 to $66,069Professionalmedian $195 · 10th to 90th $158 to $372
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 $2,290.87 Median $6,918.31 Typical High $17,378.01 | Facility | None | $2,290.87 | $6,918.31 | $17,378.01 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $288.40 | Professional | None (both parts) | $181.97 | $181.97 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $134.90 | Professional | 26 · Professional part | $109.65 | $109.65 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $89.13 | Professional | TC · Technical part | $74.13 | $74.13 | $89.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,258.93 Median $9,772.37 Typical High $89,125.09 | Facility | None | $1,258.93 | $9,772.37 | $89,125.09 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $154.88 Median $190.55 Typical High $229.09 | Professional | None (both parts) | $154.88 | $190.55 | $229.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $114.82 Typical High $208.93 | Professional | 26 · Professional part | $95.50 | $114.82 | $208.93 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $75.86 Typical High $95.50 | Professional | TC · Technical part | $64.57 | $75.86 | $95.50 |
CDPHP Setting Facility Modifier None Typical Low $4,265.80 Median $9,332.54 Typical High $28,183.83 | Facility | None | $4,265.80 | $9,332.54 | $28,183.83 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $109.65 Median $165.96 Typical High $275.42 | Professional | None (both parts) | $109.65 | $165.96 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $17,378.01 Typical High $31,622.78 | Facility | None | $794.33 | $17,378.01 | $31,622.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $218.78 Typical High $645.65 | Professional | None (both parts) | $208.93 | $218.78 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $128.82 Typical High $380.19 | Professional | 26 · Professional part | $123.03 | $128.82 | $380.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $89.13 Typical High $263.03 | Professional | TC · Technical part | $85.11 | $89.13 | $263.03 |
Emblem Health Setting Facility Modifier None Typical Low $72.44 Median $114.82 Typical High $338.84 | Facility | None | $72.44 | $114.82 | $338.84 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $229.09 Median $263.03 Typical High $467.74 | Professional | None (both parts) | $229.09 | $263.03 | $467.74 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $138.04 Median $194.98 Typical High $338.84 | Professional | None (both parts) | $138.04 | $194.98 | $338.84 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $107.15 Typical High $186.21 | Professional | 26 · Professional part | $75.86 | $107.15 | $186.21 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $85.11 Typical High $151.36 | Professional | TC · Technical part | $60.26 | $85.11 | $151.36 |
MVP Health Care Setting Facility Modifier None Typical Low $13,489.63 Median $15,848.93 Typical High $33,113.11 | Facility | None | $13,489.63 | $15,848.93 | $33,113.11 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $281.84 Median $371.54 Typical High $371.54 | Professional | None (both parts) | $281.84 | $371.54 | $371.54 |
United Setting Facility Modifier None Typical Low $831.76 Median $2,344.23 Typical High $21,877.62 | Facility | None | $831.76 | $2,344.23 | $21,877.62 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $245.47 Typical High $562.34 | Professional | None (both parts) | $173.78 | $245.47 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $144.54 Typical High $309.03 | Professional | 26 · Professional part | $95.50 | $144.54 | $309.03 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $104.71 Typical High $239.88 | Professional | TC · Technical part | $74.13 | $104.71 | $239.88 |
Univera Setting Facility Modifier None Typical Low $138.04 Median $154.88 Typical High $1,023.29 | Facility | None | $138.04 | $154.88 | $1,023.29 |
Univera Setting Facility Modifier 26 · Professional part Typical Low $75.86 Median $95.50 Typical High $616.60 | Facility | 26 · Professional part | $75.86 | $95.50 | $616.60 |
Univera Setting Facility Modifier TC · Technical part Typical Low $60.26 Median $61.66 Typical High $389.05 | Facility | TC · Technical part | $60.26 | $61.66 | $389.05 |
Univera Setting Professional Modifier None (both parts) Typical Low $138.04 Median $194.98 Typical High $338.84 | Professional | None (both parts) | $138.04 | $194.98 | $338.84 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $107.15 Typical High $186.21 | Professional | 26 · Professional part | $75.86 | $107.15 | $186.21 |
Univera Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $85.11 Typical High $151.36 | Professional | TC · Technical part | $60.26 | $85.11 | $151.36 |
2 more rates 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 52 · Reduced service Typical Low $91.20 Median $91.20 Typical High $112.20 | Professional | 52 · Reduced service | $91.20 | $91.20 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $45.71 | Professional | 53 · Discontinued | $36.31 | $36.31 | $45.71 |
Where New York sits
The same service costs 30.2 times more in Oklahoma than in Hawaii. 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· 49th of 51
$204
OK $4,786HI $158
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.