How much rates vary
Facilitymedian $4,677 · 10th to 90th $676 to $66,069Professionalmedian $48 · 10th to 90th $39 to $83
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 $6,606.93 Typical High $22,387.21 | Facility | None | $1,819.70 | $6,606.93 | $22,387.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $57.54 Typical High $72.44 | Professional | None (both parts) | $54.95 | $57.54 | $72.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $44.67 Typical High $54.95 | Professional | 26 · Professional part | $43.65 | $44.67 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $11.22 Median $13.18 Typical High $13.18 | Professional | TC · Technical part | $11.22 | $13.18 | $13.18 |
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 $37.15 Median $45.71 Typical High $57.54 | Professional | None (both parts) | $37.15 | $45.71 | $57.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $36.31 Typical High $63.10 | Professional | 26 · Professional part | $30.90 | $36.31 | $63.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $7.94 Median $9.55 Typical High $12.30 | Professional | TC · Technical part | $7.94 | $9.55 | $12.30 |
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 $13.80 Median $53.70 Typical High $67.61 | Professional | None (both parts) | $13.80 | $53.70 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $21,877.62 Typical High $50,118.72 | Facility | None | $74.13 | $21,877.62 | $50,118.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $57.54 Typical High $165.96 | Professional | None (both parts) | $46.77 | $57.54 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $43.65 Typical High $125.89 | Professional | 26 · Professional part | $35.48 | $43.65 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.47 Median $13.18 Typical High $38.02 | Professional | TC · Technical part | $10.47 | $13.18 | $38.02 |
Emblem Health Setting Facility Modifier None Typical Low $10.96 Median $32.36 Typical High $16,595.87 | Facility | None | $10.96 | $32.36 | $16,595.87 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $53.70 Median $63.10 Typical High $109.65 | Professional | None (both parts) | $53.70 | $63.10 | $109.65 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $33.88 Median $53.70 Typical High $83.18 | Professional | None (both parts) | $33.88 | $53.70 | $83.18 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $42.66 Typical High $58.88 | Professional | 26 · Professional part | $23.99 | $42.66 | $58.88 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $9.12 Median $12.88 Typical High $22.91 | Professional | TC · Technical part | $9.12 | $12.88 | $22.91 |
MVP Health Care Setting Facility Modifier None Typical Low $19.50 Median $15,848.93 Typical High $47,863.01 | Facility | None | $19.50 | $15,848.93 | $47,863.01 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $91.20 | Professional | None (both parts) | $77.62 | $77.62 | $91.20 |
United Setting Facility Modifier None Typical Low $831.76 Median $2,344.23 Typical High $14,454.40 | Facility | None | $831.76 | $2,344.23 | $14,454.40 |
United Setting Professional Modifier None (both parts) Typical Low $40.74 Median $60.26 Typical High $125.89 | Professional | None (both parts) | $40.74 | $60.26 | $125.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $43.65 Typical High $93.33 | Professional | 26 · Professional part | $28.18 | $43.65 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $11.75 Median $16.60 Typical High $38.02 | Professional | TC · Technical part | $11.75 | $16.60 | $38.02 |
Univera Setting Facility Modifier None Typical Low $33.88 Median $47.86 Typical High $275.42 | Facility | None | $33.88 | $47.86 | $275.42 |
Univera Setting Facility Modifier 26 · Professional part Typical Low $24.55 Median $38.90 Typical High $218.78 | Facility | 26 · Professional part | $24.55 | $38.90 | $218.78 |
Univera Setting Facility Modifier TC · Technical part Typical Low $9.12 Median $9.33 Typical High $53.70 | Facility | TC · Technical part | $9.12 | $9.33 | $53.70 |
Univera Setting Professional Modifier None (both parts) Typical Low $33.88 Median $47.86 Typical High $83.18 | Professional | None (both parts) | $33.88 | $47.86 | $83.18 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $38.90 Typical High $58.88 | Professional | 26 · Professional part | $23.99 | $38.90 | $58.88 |
Univera Setting Professional Modifier TC · Technical part Typical Low $9.12 Median $12.88 Typical High $22.91 | Professional | TC · Technical part | $9.12 | $12.88 | $22.91 |
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 $27.54 Median $28.84 Typical High $28.84 | Professional | 52 · Reduced service | $27.54 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $11.48 Typical High $11.48 | Professional | 53 · Discontinued | $10.96 | $11.48 | $11.48 |
Where New York sits
The same service costs 51.3 times more in Oklahoma 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
$50.12
OK $2,570NY $50.12
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.