How much rates vary
Facilitymedian $4,898 · 10th to 90th $1,047 to $33,113Professionalmedian $676 · 10th to 90th $562 to $1,349
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 $2,238.72 Median $7,244.36 Typical High $20,892.96 | Facility | None | $2,238.72 | $7,244.36 | $20,892.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $660.69 Median $660.69 Typical High $1,000.00 | Professional | None (both parts) | $660.69 | $660.69 | $1,000.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $371.54 Typical High $575.44 | Professional | 26 · Professional part | $371.54 | $371.54 | $575.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $288.40 Typical High $354.81 | Professional | TC · Technical part | $288.40 | $288.40 | $354.81 |
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 $549.54 Median $645.65 Typical High $794.33 | Professional | None (both parts) | $549.54 | $645.65 | $794.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $380.19 Typical High $691.83 | Professional | 26 · Professional part | $316.23 | $380.19 | $691.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $281.84 Typical High $363.08 | Professional | TC · Technical part | $239.88 | $281.84 | $363.08 |
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 $407.38 Median $549.54 Typical High $954.99 | Professional | None (both parts) | $407.38 | $549.54 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $5,128.61 Median $9,549.93 Typical High $21,877.62 | Facility | None | $5,128.61 | $9,549.93 | $21,877.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $724.44 Median $794.33 Typical High $2,238.72 | Professional | None (both parts) | $724.44 | $794.33 | $2,238.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $436.52 Typical High $1,258.93 | Professional | 26 · Professional part | $407.38 | $436.52 | $1,258.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $346.74 Typical High $977.24 | Professional | TC · Technical part | $316.23 | $346.74 | $977.24 |
Emblem Health Setting Facility Modifier None Typical Low $281.84 Median $446.68 Typical High $1,348.96 | Facility | None | $281.84 | $446.68 | $1,348.96 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $724.44 Median $933.25 Typical High $1,659.59 | Professional | None (both parts) | $724.44 | $933.25 | $1,659.59 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $489.78 Median $691.83 Typical High $1,202.26 | Professional | None (both parts) | $489.78 | $691.83 | $1,202.26 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $354.81 Typical High $616.60 | Professional | 26 · Professional part | $251.19 | $354.81 | $616.60 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $338.84 Typical High $588.84 | Professional | TC · Technical part | $245.47 | $338.84 | $588.84 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $16,595.87 Median $16,595.87 Typical High $16,595.87 | Facility | TC · Technical part | $16,595.87 | $16,595.87 | $16,595.87 |
MVP Health Care Setting Facility Modifier None Typical Low $549.54 Median $15,848.93 Typical High $47,863.01 | Facility | None | $549.54 | $15,848.93 | $47,863.01 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,348.96 Typical High $1,348.96 | Professional | None (both parts) | $933.25 | $1,348.96 | $1,348.96 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $4,365.16 Typical High $23,988.33 | Facility | None | $1,318.26 | $4,365.16 | $23,988.33 |
United Setting Professional Modifier None (both parts) Typical Low $616.60 Median $870.96 Typical High $1,995.26 | Professional | None (both parts) | $616.60 | $870.96 | $1,995.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $478.63 Typical High $1,023.29 | Professional | 26 · Professional part | $316.23 | $478.63 | $1,023.29 |
United Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $416.87 Typical High $933.25 | Professional | TC · Technical part | $295.12 | $416.87 | $933.25 |
Univera Setting Facility Modifier None Typical Low $489.78 Median $562.34 Typical High $3,630.78 | Facility | None | $489.78 | $562.34 | $3,630.78 |
Univera Setting Facility Modifier 26 · Professional part Typical Low $251.19 Median $309.03 Typical High $1,862.09 | Facility | 26 · Professional part | $251.19 | $309.03 | $1,862.09 |
Univera Setting Facility Modifier TC · Technical part Typical Low $245.47 Median $257.04 Typical High $1,348.96 | Facility | TC · Technical part | $245.47 | $257.04 | $1,348.96 |
Univera Setting Professional Modifier None (both parts) Typical Low $489.78 Median $691.83 Typical High $1,230.27 | Professional | None (both parts) | $489.78 | $691.83 | $1,230.27 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $354.81 Typical High $616.60 | Professional | 26 · Professional part | $251.19 | $354.81 | $616.60 |
Univera Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $338.84 Typical High $602.56 | Professional | TC · Technical part | $245.47 | $338.84 | $602.56 |
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 $331.13 Median $331.13 Typical High $389.05 | Professional | 52 · Reduced service | $331.13 | $331.13 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $131.83 Typical High $158.49 | Professional | 53 · Discontinued | $131.83 | $131.83 | $158.49 |
Where New York sits
The same service costs 7.1 times more in Texas 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
$708
TX $3,981HI $562
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.