How much rates vary
Facilitymedian $3,890 · 10th to 90th $708 to $43,652Professionalmedian $158 · 10th to 90th $129 to $282
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 $1,819.70 Median $6,456.54 Typical High $19,054.61 | Facility | None | $1,819.70 | $6,456.54 | $19,054.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $186.21 | Professional | None (both parts) | $147.91 | $147.91 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $107.15 Typical High $134.90 | Professional | 26 · Professional part | $107.15 | $107.15 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $51.29 | Professional | TC · Technical part | $42.66 | $42.66 | $51.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,258.93 Median $4,677.35 Typical High $60,255.96 | Facility | None | $1,258.93 | $4,677.35 | $60,255.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $125.89 Median $151.36 Typical High $181.97 | Professional | None (both parts) | $125.89 | $151.36 | $181.97 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $112.20 Typical High $204.17 | Professional | 26 · Professional part | $93.33 | $112.20 | $204.17 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $42.66 Typical High $56.23 | Professional | TC · Technical part | $36.31 | $42.66 | $56.23 |
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 $63.10 Median $162.18 Typical High $229.09 | Professional | None (both parts) | $63.10 | $162.18 | $229.09 |
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 $169.82 Median $177.83 Typical High $524.81 | Professional | None (both parts) | $169.82 | $177.83 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $125.89 Typical High $380.19 | Professional | 26 · Professional part | $120.23 | $125.89 | $380.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $51.29 Typical High $151.36 | Professional | TC · Technical part | $48.98 | $51.29 | $151.36 |
Emblem Health Setting Facility Modifier None Typical Low $42.66 Median $66.07 Typical High $194.98 | Facility | None | $42.66 | $66.07 | $194.98 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $181.97 Median $208.93 Typical High $363.08 | Professional | None (both parts) | $181.97 | $208.93 | $363.08 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $158.49 Typical High $275.42 | Professional | None (both parts) | $112.20 | $158.49 | $275.42 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $107.15 Typical High $181.97 | Professional | 26 · Professional part | $74.13 | $107.15 | $181.97 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $51.29 Typical High $91.20 | Professional | TC · Technical part | $32.36 | $51.29 | $91.20 |
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 $257.04 Median $257.04 Typical High $295.12 | Professional | None (both parts) | $257.04 | $257.04 | $295.12 |
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 $134.90 Median $199.53 Typical High $446.68 | Professional | None (both parts) | $134.90 | $199.53 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $141.25 Typical High $302.00 | Professional | 26 · Professional part | $93.33 | $141.25 | $302.00 |
United Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $58.88 Typical High $134.90 | Professional | TC · Technical part | $41.69 | $58.88 | $134.90 |
Univera Setting Facility Modifier None Typical Low $112.20 Median $125.89 Typical High $954.99 | Facility | None | $112.20 | $125.89 | $954.99 |
Univera Setting Facility Modifier 26 · Professional part Typical Low $74.13 Median $93.33 Typical High $707.95 | Facility | 26 · Professional part | $74.13 | $93.33 | $707.95 |
Univera Setting Facility Modifier TC · Technical part Typical Low $32.36 Median $37.15 Typical High $275.42 | Facility | TC · Technical part | $32.36 | $37.15 | $275.42 |
Univera Setting Professional Modifier None (both parts) Typical Low $112.20 Median $158.49 Typical High $275.42 | Professional | None (both parts) | $112.20 | $158.49 | $275.42 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $107.15 Typical High $181.97 | Professional | 26 · Professional part | $74.13 | $107.15 | $181.97 |
Univera Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $51.29 Typical High $91.20 | Professional | TC · Technical part | $32.36 | $51.29 | $91.20 |
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 $74.13 Median $74.13 Typical High $93.33 | Professional | 52 · Reduced service | $74.13 | $74.13 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $37.15 | Professional | 53 · Discontinued | $30.20 | $30.20 | $37.15 |
Where New York sits
The same service costs 8.3 times more in Louisiana 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
$166
LA $1,288HI $155
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.