How much rates vary
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 $309.03 Median $309.03 Typical High $371.54 | Professional | None (both parts) | $309.03 | $309.03 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $239.88 Typical High $281.84 | Professional | 26 · Professional part | $239.88 | $239.88 | $281.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $77.62 | Professional | TC · Technical part | $69.18 | $69.18 | $77.62 |
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 $257.04 Median $302.00 Typical High $371.54 | Professional | None (both parts) | $257.04 | $302.00 | $371.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $239.88 Typical High $446.68 | Professional | 26 · Professional part | $199.53 | $239.88 | $446.68 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $66.07 Typical High $83.18 | Professional | TC · Technical part | $56.23 | $66.07 | $83.18 |
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 $95.50 Median $331.13 Typical High $436.52 | Professional | None (both parts) | $95.50 | $331.13 | $436.52 |
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 $323.59 Median $363.08 Typical High $1,000.00 | Professional | None (both parts) | $323.59 | $363.08 | $1,000.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $281.84 Typical High $776.25 | Professional | 26 · Professional part | $251.19 | $281.84 | $776.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $83.18 Typical High $229.09 | Professional | TC · Technical part | $72.44 | $83.18 | $229.09 |
Emblem Health Setting Facility Modifier None Typical Low $83.18 Median $120.23 Typical High $389.05 | Facility | None | $83.18 | $120.23 | $389.05 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $363.08 Median $416.87 Typical High $741.31 | Professional | None (both parts) | $363.08 | $416.87 | $741.31 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $229.09 Median $323.59 Typical High $549.54 | Professional | None (both parts) | $229.09 | $323.59 | $549.54 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $234.42 Typical High $380.19 | Professional | 26 · Professional part | $154.88 | $234.42 | $380.19 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $97.72 Typical High $173.78 | Professional | TC · Technical part | $64.57 | $97.72 | $173.78 |
MVP Health Care Setting Facility Modifier None Typical Low $141.25 Median $15,848.93 Typical High $47,863.01 | Facility | None | $141.25 | $15,848.93 | $47,863.01 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $501.19 Median $501.19 Typical High $616.60 | Professional | None (both parts) | $501.19 | $501.19 | $616.60 |
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 $275.42 Median $407.38 Typical High $891.25 | Professional | None (both parts) | $275.42 | $407.38 | $891.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $295.12 Typical High $630.96 | Professional | 26 · Professional part | $194.98 | $295.12 | $630.96 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $112.20 Typical High $251.19 | Professional | TC · Technical part | $77.62 | $112.20 | $251.19 |
Univera Setting Facility Modifier None Typical Low $229.09 Median $275.42 Typical High $1,659.59 | Facility | None | $229.09 | $275.42 | $1,659.59 |
Univera Setting Facility Modifier 26 · Professional part Typical Low $154.88 Median $208.93 Typical High $1,230.27 | Facility | 26 · Professional part | $154.88 | $208.93 | $1,230.27 |
Univera Setting Facility Modifier TC · Technical part Typical Low $64.57 Median $70.79 Typical High $331.13 | Facility | TC · Technical part | $64.57 | $70.79 | $331.13 |
Univera Setting Professional Modifier None (both parts) Typical Low $229.09 Median $323.59 Typical High $549.54 | Professional | None (both parts) | $229.09 | $323.59 | $549.54 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $223.87 Typical High $380.19 | Professional | 26 · Professional part | $154.88 | $223.87 | $380.19 |
Univera Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $97.72 Typical High $173.78 | Professional | TC · Technical part | $64.57 | $97.72 | $173.78 |
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 $154.88 Median $154.88 Typical High $177.83 | Professional | 52 · Reduced service | $154.88 | $154.88 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $70.79 | Professional | 53 · Discontinued | $61.66 | $61.66 | $70.79 |
Where New York sits
The same service costs 9.5 times more in Louisiana 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
$324
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.