How much rates vary
Facilitymedian $3,162 · 10th to 90th $479 to $66,069Professionalmedian $209 · 10th to 90th $162 to $759
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 $194.98 Median $6,309.57 Typical High $26,915.35 | Facility | None | $194.98 | $6,309.57 | $26,915.35 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $66.07 Median $120.23 Typical High $295.12 | Facility | 26 · Professional part | $66.07 | $120.23 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $194.98 Typical High $302.00 | Professional | None (both parts) | $158.49 | $194.98 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $147.91 Typical High $218.78 | Professional | 26 · Professional part | $102.33 | $147.91 | $218.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $50.12 Typical High $61.66 | Professional | TC · Technical part | $38.90 | $50.12 | $61.66 |
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 $162.18 Median $199.53 Typical High $229.09 | Professional | None (both parts) | $162.18 | $199.53 | $229.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $154.88 Typical High $194.98 | Professional | 26 · Professional part | $123.03 | $154.88 | $194.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $50.12 Typical High $57.54 | Professional | TC · Technical part | $40.74 | $50.12 | $57.54 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $58.88 Median $177.83 Typical High $234.42 | Professional | None (both parts) | $58.88 | $177.83 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $21,877.62 Typical High $50,118.72 | Facility | None | $114.82 | $21,877.62 | $50,118.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $147.91 Typical High $562.34 | Professional | None (both parts) | $144.54 | $147.91 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $109.65 Typical High $416.87 | Professional | 26 · Professional part | $107.15 | $109.65 | $416.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $38.02 Typical High $158.49 | Professional | TC · Technical part | $36.31 | $38.02 | $158.49 |
Emblem Health Setting Facility Modifier None Typical Low $218.78 Median $660.69 Typical High $2,818.38 | Facility | None | $218.78 | $660.69 | $2,818.38 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $426.58 Median $933.25 Typical High $1,621.81 | Professional | None (both parts) | $426.58 | $933.25 | $1,621.81 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $165.96 Median $302.00 Typical High $776.25 | Professional | None (both parts) | $165.96 | $302.00 | $776.25 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $64.57 Typical High $134.90 | Professional | 26 · Professional part | $35.48 | $64.57 | $134.90 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $239.88 Typical High $645.65 | Professional | TC · Technical part | $131.83 | $239.88 | $645.65 |
Highmark BCBS Setting Facility Modifier None Typical Low $891.25 Median $7,413.10 Typical High $52,480.75 | Facility | None | $891.25 | $7,413.10 | $52,480.75 |
MVP Health Care Setting Facility Modifier None Typical Low $1,230.27 Median $15,848.93 Typical High $47,863.01 | Facility | None | $1,230.27 | $15,848.93 | $47,863.01 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $302.00 Median $758.58 Typical High $758.58 | Professional | None (both parts) | $302.00 | $758.58 | $758.58 |
United Setting Facility Modifier None Typical Low $363.08 Median $1,318.26 Typical High $5,128.61 | Facility | None | $363.08 | $1,318.26 | $5,128.61 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $831.76 Typical High $2,041.74 | Professional | None (both parts) | $251.19 | $831.76 | $2,041.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $173.78 Typical High $416.87 | Professional | 26 · Professional part | $43.65 | $173.78 | $416.87 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $724.44 Typical High $1,698.24 | Professional | TC · Technical part | $181.97 | $724.44 | $1,698.24 |
Univera Setting Facility Modifier None Typical Low $165.96 Median $416.87 Typical High $1,230.27 | Facility | None | $165.96 | $416.87 | $1,230.27 |
Univera Setting Facility Modifier 26 · Professional part Typical Low $35.48 Median $89.13 Typical High $707.95 | Facility | 26 · Professional part | $35.48 | $89.13 | $707.95 |
Univera Setting Facility Modifier TC · Technical part Typical Low $131.83 Median $323.59 Typical High $575.44 | Facility | TC · Technical part | $131.83 | $323.59 | $575.44 |
Univera Setting Professional Modifier None (both parts) Typical Low $165.96 Median $302.00 Typical High $776.25 | Professional | None (both parts) | $165.96 | $302.00 | $776.25 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $64.57 Typical High $134.90 | Professional | 26 · Professional part | $35.48 | $64.57 | $134.90 |
Univera Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $239.88 Typical High $645.65 | Professional | TC · Technical part | $131.83 | $239.88 | $645.65 |
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 $79.43 Median $97.72 Typical High $97.72 | Professional | 52 · Reduced service | $79.43 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $38.90 Typical High $38.90 | Professional | 53 · Discontinued | $31.62 | $38.90 | $38.90 |
Where New York sits
The same service costs 4.8 times more in Nebraska than in South Carolina. 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· 41st of 51
$219
NE $724SC $151
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.