How much rates vary
Facilitymedian $5,370 · 10th to 90th $1,096 to $50,119Professionalmedian $575 · 10th to 90th $468 to $1,047
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 $575.44 Median $575.44 Typical High $676.08 | Professional | None (both parts) | $575.44 | $575.44 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $302.00 Typical High $363.08 | Professional | 26 · Professional part | $302.00 | $302.00 | $363.08 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $275.42 Typical High $316.23 | Professional | TC · Technical part | $275.42 | $275.42 | $316.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | 26 · Professional part | $295.12 | $295.12 | $295.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $13,182.57 Typical High $69,183.10 | Facility | None | $2,754.23 | $13,182.57 | $69,183.10 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $457.09 Median $537.03 Typical High $616.60 | Professional | None (both parts) | $457.09 | $537.03 | $616.60 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $295.12 Typical High $323.59 | Professional | 26 · Professional part | $251.19 | $295.12 | $323.59 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $251.19 Typical High $288.40 | Professional | TC · Technical part | $213.80 | $251.19 | $288.40 |
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 $380.19 Median $436.52 Typical High $831.76 | Professional | None (both parts) | $380.19 | $436.52 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $21,877.62 Typical High $50,118.72 | Facility | None | $912.01 | $21,877.62 | $50,118.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $616.60 Median $645.65 Typical High $1,659.59 | Professional | None (both parts) | $616.60 | $645.65 | $1,659.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $338.84 Typical High $812.83 | Professional | 26 · Professional part | $323.59 | $338.84 | $812.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $302.00 Typical High $741.31 | Professional | TC · Technical part | $295.12 | $302.00 | $741.31 |
Emblem Health Setting Facility Modifier None Typical Low $257.04 Median $416.87 Typical High $1,230.27 | Facility | None | $257.04 | $416.87 | $1,230.27 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $741.31 Median $758.58 Typical High $1,659.59 | Professional | None (both parts) | $741.31 | $758.58 | $1,659.59 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $354.81 Typical High $537.03 | Professional | 26 · Professional part | $354.81 | $354.81 | $537.03 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $398.11 Typical High $1,202.26 | Professional | TC · Technical part | $380.19 | $398.11 | $1,202.26 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $416.87 Median $588.84 Typical High $1,047.13 | Professional | None (both parts) | $416.87 | $588.84 | $1,047.13 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $288.40 Typical High $501.19 | Professional | 26 · Professional part | $199.53 | $288.40 | $501.19 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $302.00 Typical High $549.54 | Professional | TC · Technical part | $218.78 | $302.00 | $549.54 |
MVP Health Care Setting Facility Modifier None Typical Low $501.19 Median $33,113.11 Typical High $47,863.01 | Facility | None | $501.19 | $33,113.11 | $47,863.01 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None (both parts) | $1,096.48 | $1,096.48 | $1,096.48 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $407.38 Typical High $501.19 | Professional | 26 · Professional part | $316.23 | $407.38 | $501.19 |
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 $501.19 Median $758.58 Typical High $1,202.26 | Professional | None (both parts) | $501.19 | $758.58 | $1,202.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $380.19 Typical High $616.60 | Professional | 26 · Professional part | $229.09 | $380.19 | $616.60 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $380.19 Typical High $630.96 | Professional | TC · Technical part | $251.19 | $380.19 | $630.96 |
Univera Setting Facility Modifier None Typical Low $426.58 Median $1,047.13 Typical High $3,162.28 | Facility | None | $426.58 | $1,047.13 | $3,162.28 |
Univera Setting Professional Modifier None (both parts) Typical Low $416.87 Median $588.84 Typical High $1,023.29 | Professional | None (both parts) | $416.87 | $588.84 | $1,023.29 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $288.40 Typical High $489.78 | Professional | 26 · Professional part | $199.53 | $288.40 | $489.78 |
Univera Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $302.00 Typical High $537.03 | Professional | TC · Technical part | $218.78 | $302.00 | $537.03 |
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 $288.40 Median $288.40 Typical High $338.84 | Professional | 52 · Reduced service | $288.40 | $288.40 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $134.90 | Professional | 53 · Discontinued | $114.82 | $114.82 | $134.90 |
Where New York sits
The same service costs 3.0 times more in Alaska 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· 45th of 51
$575
AK $1,288HI $437
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.