How much rates vary
Facilitymedian $4,677 · 10th to 90th $724 to $66,069Professionalmedian $224 · 10th to 90th $182 to $398
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 $31,622.78 | Facility | None | $1,819.70 | $6,918.31 | $31,622.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $263.03 | Professional | None (both parts) | $208.93 | $208.93 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $151.36 Typical High $186.21 | Professional | 26 · Professional part | $151.36 | $151.36 | $186.21 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $60.26 Typical High $72.44 | Professional | TC · Technical part | $60.26 | $60.26 | $72.44 |
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 $173.78 Median $213.80 Typical High $257.04 | Professional | None (both parts) | $173.78 | $213.80 | $257.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $158.49 Typical High $288.40 | Professional | 26 · Professional part | $134.90 | $158.49 | $288.40 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $60.26 Typical High $74.13 | Professional | TC · Technical part | $51.29 | $60.26 | $74.13 |
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 $89.13 Median $229.09 Typical High $316.23 | Professional | None (both parts) | $89.13 | $229.09 | $316.23 |
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 $234.42 Median $251.19 Typical High $724.44 | Professional | None (both parts) | $234.42 | $251.19 | $724.44 |
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 $67.61 Median $72.44 Typical High $208.93 | Professional | TC · Technical part | $67.61 | $72.44 | $208.93 |
Emblem Health Setting Facility Modifier None Typical Low $63.10 Median $95.50 Typical High $281.84 | Facility | None | $63.10 | $95.50 | $281.84 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $257.04 Median $295.12 Typical High $524.81 | Professional | None (both parts) | $257.04 | $295.12 | $524.81 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $158.49 Median $223.87 Typical High $389.05 | Professional | None (both parts) | $158.49 | $223.87 | $389.05 |
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 $50.12 Median $75.86 Typical High $134.90 | Professional | TC · Technical part | $50.12 | $75.86 | $134.90 |
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 $407.38 | Professional | None (both parts) | $251.19 | $251.19 | $407.38 |
United Setting Facility Modifier None Typical Low $831.76 Median $2,344.23 Typical High $19,498.45 | Facility | None | $831.76 | $2,344.23 | $19,498.45 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $281.84 Typical High $630.96 | Professional | None (both parts) | $190.55 | $281.84 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $194.98 Typical High $416.87 | Professional | 26 · Professional part | $131.83 | $194.98 | $416.87 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $87.10 Typical High $194.98 | Professional | TC · Technical part | $61.66 | $87.10 | $194.98 |
Univera Setting Facility Modifier None Typical Low $158.49 Median $181.97 Typical High $1,023.29 | Facility | None | $158.49 | $181.97 | $1,023.29 |
Univera Setting Facility Modifier 26 · Professional part Typical Low $104.71 Median $131.83 Typical High $741.31 | Facility | 26 · Professional part | $104.71 | $131.83 | $741.31 |
Univera Setting Facility Modifier TC · Technical part Typical Low $50.12 Median $54.95 Typical High $269.15 | Facility | TC · Technical part | $50.12 | $54.95 | $269.15 |
Univera Setting Professional Modifier None (both parts) Typical Low $158.49 Median $223.87 Typical High $389.05 | Professional | None (both parts) | $158.49 | $223.87 | $389.05 |
Univera 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 |
Univera Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $75.86 Typical High $134.90 | Professional | TC · Technical part | $50.12 | $75.86 | $134.90 |
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 $104.71 Median $104.71 Typical High $128.82 | Professional | 52 · Reduced service | $104.71 | $104.71 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $52.48 | Professional | 53 · Discontinued | $41.69 | $41.69 | $52.48 |
Where New York sits
The same service costs 5.8 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
$229
LA $1,288AL $224
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.