How much rates vary
Facilitymedian $1,820 · 10th to 90th $603 to $6,310Professionalmedian $851 · 10th to 90th $708 to $1,479
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 $912.01 Median $2,041.74 Typical High $6,309.57 | Facility | None | $912.01 | $2,041.74 | $6,309.57 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $107.15 Median $144.54 Typical High $338.84 | Facility | 26 · Professional part | $107.15 | $144.54 | $338.84 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $812.83 Median $977.24 Typical High $2,344.23 | Facility | TC · Technical part | $812.83 | $977.24 | $2,344.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $912.01 Median $912.01 Typical High $1,258.93 | Professional | None (both parts) | $912.01 | $912.01 | $1,258.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $107.15 Typical High $147.91 | Professional | 26 · Professional part | $107.15 | $107.15 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $812.83 Typical High $1,122.02 | Professional | TC · Technical part | $812.83 | $812.83 | $1,122.02 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None (both parts) | $870.96 | $870.96 | $870.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $707.95 Median $831.76 Typical High $1,174.90 | Professional | None (both parts) | $707.95 | $831.76 | $1,174.90 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $114.82 Typical High $144.54 | Professional | 26 · Professional part | $97.72 | $114.82 | $144.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $724.44 Typical High $1,023.29 | Professional | TC · Technical part | $616.60 | $724.44 | $1,023.29 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $177.83 Median $1,122.02 Typical High $1,288.25 | Professional | None (both parts) | $177.83 | $1,122.02 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $870.96 Typical High $1,584.89 | Facility | None | $660.69 | $870.96 | $1,584.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $741.31 Median $851.14 Typical High $2,884.03 | Professional | None (both parts) | $741.31 | $851.14 | $2,884.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $97.72 Typical High $354.81 | Professional | 26 · Professional part | $89.13 | $97.72 | $354.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $724.44 Typical High $2,511.89 | Professional | TC · Technical part | $645.65 | $724.44 | $2,511.89 |
Emblem Health Setting Facility Modifier None Typical Low $537.03 Median $1,819.70 Typical High $6,918.31 | Facility | None | $537.03 | $1,819.70 | $6,918.31 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,202.26 Typical High $1,819.70 | Professional | None (both parts) | $851.14 | $1,202.26 | $1,819.70 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $141.25 Typical High $223.87 | Professional | 26 · Professional part | $95.50 | $141.25 | $223.87 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $1,071.52 Median $1,122.02 Typical High $1,584.89 | Professional | TC · Technical part | $1,071.52 | $1,122.02 | $1,584.89 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $741.31 Median $851.14 Typical High $1,258.93 | Professional | None (both parts) | $741.31 | $851.14 | $1,258.93 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $107.15 Typical High $162.18 | Professional | 26 · Professional part | $93.33 | $107.15 | $162.18 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $758.58 Typical High $1,096.48 | Professional | TC · Technical part | $660.69 | $758.58 | $1,096.48 |
Highmark BCBS Setting Facility Modifier None Typical Low $5,011.87 Median $5,370.32 Typical High $6,309.57 | Facility | None | $5,011.87 | $5,370.32 | $6,309.57 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None (both parts) | $1,071.52 | $1,071.52 | $1,071.52 |
MVP Health Care Setting Facility Modifier None Typical Low $1,096.48 Median $1,318.26 Typical High $5,623.41 | Facility | None | $1,096.48 | $1,318.26 | $5,623.41 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $758.58 Median $758.58 Typical High $2,238.72 | Professional | None (both parts) | $758.58 | $758.58 | $2,238.72 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $162.18 Typical High $323.59 | Professional | 26 · Professional part | $128.82 | $162.18 | $323.59 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $1,023.29 Typical High $2,238.72 | Professional | TC · Technical part | $776.25 | $1,023.29 | $2,238.72 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $1,995.26 Typical High $2,454.71 | Facility | None | $1,737.80 | $1,995.26 | $2,454.71 |
United Setting Professional Modifier None (both parts) Typical Low $776.25 Median $954.99 Typical High $2,454.71 | Professional | None (both parts) | $776.25 | $954.99 | $2,454.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $125.89 Typical High $331.13 | Professional | 26 · Professional part | $93.33 | $125.89 | $331.13 |
United Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $812.83 Typical High $2,187.76 | Professional | TC · Technical part | $676.08 | $812.83 | $2,187.76 |
Univera Setting Facility Modifier None Typical Low $912.01 Median $1,023.29 Typical High $2,187.76 | Facility | None | $912.01 | $1,023.29 | $2,187.76 |
Univera Setting Professional Modifier None (both parts) Typical Low $741.31 Median $851.14 Typical High $1,258.93 | Professional | None (both parts) | $741.31 | $851.14 | $1,258.93 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $107.15 Typical High $162.18 | Professional | 26 · Professional part | $93.33 | $107.15 | $162.18 |
Univera Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $758.58 Typical High $1,096.48 | Professional | TC · Technical part | $660.69 | $758.58 | $1,096.48 |
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 $457.09 Median $457.09 Typical High $549.54 | Professional | 52 · Reduced service | $457.09 | $457.09 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $218.78 | Professional | 53 · Discontinued | $181.97 | $181.97 | $218.78 |
Where New York sits
The same service costs 2.9 times more in Alaska than in Texas. 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
$851
AK $2,138TX $741
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.