How much rates vary
Facilitymedian $7,244 · 10th to 90th $1,096 to $81,283Professionalmedian $447 · 10th to 90th $355 to $851
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 $2,290.87 Median $6,918.31 Typical High $17,378.01 | Facility | None | $2,290.87 | $6,918.31 | $17,378.01 |
Aetna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $512.86 | Professional | None (both parts) | $446.68 | $446.68 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $177.83 Typical High $204.17 | Professional | 26 · Professional part | $177.83 | $177.83 | $204.17 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $269.15 Typical High $302.00 | Professional | TC · Technical part | $269.15 | $269.15 | $302.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $22,908.68 Typical High $104,712.85 | Facility | None | $2,754.23 | $22,908.68 | $104,712.85 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $338.84 Median $398.11 Typical High $467.74 | Professional | None (both parts) | $338.84 | $398.11 | $467.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $165.96 Typical High $186.21 | Professional | 26 · Professional part | $141.25 | $165.96 | $186.21 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $251.19 Typical High $416.87 | Professional | TC · Technical part | $213.80 | $251.19 | $416.87 |
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 $251.19 Median $371.54 Typical High $630.96 | Professional | None (both parts) | $251.19 | $371.54 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $21,877.62 Typical High $50,118.72 | Facility | None | $691.83 | $21,877.62 | $50,118.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $489.78 Typical High $1,258.93 | Professional | None (both parts) | $467.74 | $489.78 | $1,258.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $194.98 Typical High $478.63 | Professional | 26 · Professional part | $186.21 | $194.98 | $478.63 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $295.12 Typical High $707.95 | Professional | TC · Technical part | $288.40 | $295.12 | $707.95 |
Emblem Health Setting Facility Modifier None Typical Low $251.19 Median $416.87 Typical High $1,230.27 | Facility | None | $251.19 | $416.87 | $1,230.27 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $588.84 Median $602.56 Typical High $1,659.59 | Professional | None (both parts) | $588.84 | $602.56 | $1,659.59 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $204.17 Typical High $309.03 | Professional | 26 · Professional part | $204.17 | $204.17 | $309.03 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $398.11 Typical High $1,412.54 | Professional | TC · Technical part | $380.19 | $398.11 | $1,412.54 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $331.13 Median $457.09 Typical High $831.76 | Professional | None (both parts) | $331.13 | $457.09 | $831.76 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $162.18 Typical High $288.40 | Professional | 26 · Professional part | $114.82 | $162.18 | $288.40 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $295.12 Typical High $537.03 | Professional | TC · Technical part | $213.80 | $295.12 | $537.03 |
MVP Health Care Setting Facility Modifier None Typical Low $512.86 Median $33,113.11 Typical High $47,863.01 | Facility | None | $512.86 | $33,113.11 | $47,863.01 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | None (both parts) | $851.14 | $851.14 | $851.14 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $234.42 Typical High $288.40 | Professional | 26 · Professional part | $181.97 | $234.42 | $288.40 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $3,162.28 Typical High $10,471.29 | Facility | None | $1,348.96 | $3,162.28 | $10,471.29 |
United Setting Professional Modifier None (both parts) Typical Low $380.19 Median $602.56 Typical High $954.99 | Professional | None (both parts) | $380.19 | $602.56 | $954.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $218.78 Typical High $346.74 | Professional | 26 · Professional part | $131.83 | $218.78 | $346.74 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $380.19 Typical High $616.60 | Professional | TC · Technical part | $245.47 | $380.19 | $616.60 |
Univera Setting Facility Modifier None Typical Low $331.13 Median $831.76 Typical High $2,454.71 | Facility | None | $331.13 | $831.76 | $2,454.71 |
Univera Setting Professional Modifier None (both parts) Typical Low $331.13 Median $457.09 Typical High $812.83 | Professional | None (both parts) | $331.13 | $457.09 | $812.83 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $162.18 Typical High $281.84 | Professional | 26 · Professional part | $114.82 | $162.18 | $281.84 |
Univera Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $295.12 Typical High $524.81 | Professional | TC · Technical part | $213.80 | $295.12 | $524.81 |
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 $223.87 Median $223.87 Typical High $257.04 | Professional | 52 · Reduced service | $223.87 | $223.87 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $89.13 Typical High $102.33 | Professional | 53 · Discontinued | $89.13 | $89.13 | $102.33 |
Where New York sits
The same service costs 3.0 times more in Wisconsin than in North 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· 44th of 51
$447
WI $1,000NC $331
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.