How much rates vary
Facilitymedian $3,890 · 10th to 90th $724 to $43,652Professionalmedian $214 · 10th to 90th $174 to $380
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 $6,918.31 Typical High $30,902.95 | Facility | None | $1,819.70 | $6,918.31 | $30,902.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $251.19 | Professional | None (both parts) | $204.17 | $204.17 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $151.36 Typical High $190.55 | Professional | 26 · Professional part | $151.36 | $151.36 | $190.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $51.29 Typical High $61.66 | Professional | TC · Technical part | $51.29 | $51.29 | $61.66 |
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 $173.78 Median $208.93 Typical High $245.47 | Professional | None (both parts) | $173.78 | $208.93 | $245.47 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $158.49 Typical High $288.40 | Professional | 26 · Professional part | $131.83 | $158.49 | $288.40 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $51.29 Typical High $66.07 | Professional | TC · Technical part | $43.65 | $51.29 | $66.07 |
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 $75.86 Median $229.09 Typical High $309.03 | Professional | None (both parts) | $75.86 | $229.09 | $309.03 |
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 $229.09 Median $239.88 Typical High $707.95 | Professional | None (both parts) | $229.09 | $239.88 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $177.83 Typical High $524.81 | Professional | 26 · Professional part | $169.82 | $177.83 | $524.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $63.10 Typical High $177.83 | Professional | TC · Technical part | $58.88 | $63.10 | $177.83 |
Emblem Health Setting Facility Modifier None Typical Low $51.29 Median $81.28 Typical High $239.88 | Facility | None | $51.29 | $81.28 | $239.88 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $245.47 Median $281.84 Typical High $489.78 | Professional | None (both parts) | $245.47 | $281.84 | $489.78 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $213.80 Typical High $371.54 | Professional | None (both parts) | $151.36 | $213.80 | $371.54 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $147.91 Typical High $257.04 | Professional | 26 · Professional part | $104.71 | $147.91 | $257.04 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $64.57 Typical High $114.82 | Professional | TC · Technical part | $39.81 | $64.57 | $114.82 |
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 $251.19 Median $251.19 Typical High $416.87 | Professional | None (both parts) | $251.19 | $251.19 | $416.87 |
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 $181.97 Median $269.15 Typical High $602.56 | Professional | None (both parts) | $181.97 | $269.15 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $199.53 Typical High $426.58 | Professional | 26 · Professional part | $131.83 | $199.53 | $426.58 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $72.44 Typical High $165.96 | Professional | TC · Technical part | $51.29 | $72.44 | $165.96 |
Univera Setting Facility Modifier None Typical Low $151.36 Median $169.82 Typical High $977.24 | Facility | None | $151.36 | $169.82 | $977.24 |
Univera Setting Facility Modifier 26 · Professional part Typical Low $104.71 Median $131.83 Typical High $758.58 | Facility | 26 · Professional part | $104.71 | $131.83 | $758.58 |
Univera Setting Facility Modifier TC · Technical part Typical Low $39.81 Median $46.77 Typical High $229.09 | Facility | TC · Technical part | $39.81 | $46.77 | $229.09 |
Univera Setting Professional Modifier None (both parts) Typical Low $151.36 Median $213.80 Typical High $380.19 | Professional | None (both parts) | $151.36 | $213.80 | $380.19 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $147.91 Typical High $263.03 | Professional | 26 · Professional part | $104.71 | $147.91 | $263.03 |
Univera Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $64.57 Typical High $117.49 | Professional | TC · Technical part | $39.81 | $64.57 | $117.49 |
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 $102.33 Median $102.33 Typical High $125.89 | Professional | 52 · Reduced service | $102.33 | $102.33 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $40.74 Typical High $50.12 | Professional | 53 · Discontinued | $40.74 | $40.74 | $50.12 |
Where New York sits
The same service costs 5.9 times more in Louisiana than in Alabama. 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· 50th of 51
$224
LA $1,288AL $219
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.