How much rates vary
Facilitymedian $302 · 10th to 90th $148 to $2,630Professionalmedian $851 · 10th to 90th $269 to $1,122
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 $851.14 Median $933.25 Typical High $1,071.52 | Facility | None | $851.14 | $933.25 | $1,071.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $851.14 Median $851.14 Typical High $1,023.29 | Professional | None (both parts) | $851.14 | $851.14 | $1,023.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $158.49 Typical High $208.93 | Professional | 26 · Professional part | $158.49 | $158.49 | $208.93 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $691.83 Typical High $831.76 | Professional | TC · Technical part | $691.83 | $691.83 | $831.76 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $741.31 Median $870.96 Typical High $977.24 | Professional | None (both parts) | $741.31 | $870.96 | $977.24 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $173.78 Typical High $218.78 | Professional | 26 · Professional part | $147.91 | $173.78 | $218.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $691.83 Typical High $870.96 | Professional | TC · Technical part | $588.84 | $691.83 | $870.96 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $263.03 Median $1,023.29 Typical High $1,288.25 | Professional | None (both parts) | $263.03 | $1,023.29 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $1,202.26 Median $1,513.56 Typical High $4,786.30 | Facility | None | $1,202.26 | $1,513.56 | $4,786.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $741.31 Median $776.25 Typical High $2,630.27 | Professional | None (both parts) | $741.31 | $776.25 | $2,630.27 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $147.91 Typical High $512.86 | Professional | 26 · Professional part | $134.90 | $147.91 | $512.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $630.96 Typical High $2,089.30 | Professional | TC · Technical part | $602.56 | $630.96 | $2,089.30 |
Emblem Health Setting Facility Modifier None Typical Low $138.04 Median $218.78 Typical High $3,890.45 | Facility | None | $138.04 | $218.78 | $3,890.45 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $478.63 Median $1,380.38 Typical High $2,511.89 | Professional | None (both parts) | $478.63 | $1,380.38 | $2,511.89 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $218.78 Typical High $338.84 | Professional | 26 · Professional part | $151.36 | $218.78 | $338.84 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $1,174.90 Typical High $1,737.80 | Professional | TC · Technical part | $177.83 | $1,174.90 | $1,737.80 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $229.09 Median $281.84 Typical High $302.00 | Professional | None (both parts) | $229.09 | $281.84 | $302.00 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $154.88 Typical High $186.21 | Professional | 26 · Professional part | $138.04 | $154.88 | $186.21 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $104.71 Typical High $120.23 | Professional | TC · Technical part | $89.13 | $104.71 | $120.23 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $446.68 | Professional | None (both parts) | $162.18 | $162.18 | $446.68 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $245.47 Typical High $446.68 | Professional | 26 · Professional part | $190.55 | $245.47 | $446.68 |
United Setting Professional Modifier None (both parts) Typical Low $331.13 Median $1,071.52 Typical High $2,884.03 | Professional | None (both parts) | $331.13 | $1,071.52 | $2,884.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $181.97 Typical High $489.78 | Professional | 26 · Professional part | $144.54 | $181.97 | $489.78 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $891.25 Typical High $2,570.40 | Professional | TC · Technical part | $125.89 | $891.25 | $2,570.40 |
Univera Setting Facility Modifier None Typical Low $269.15 Median $302.00 Typical High $891.25 | Facility | None | $269.15 | $302.00 | $891.25 |
Univera Setting Professional Modifier None (both parts) Typical Low $190.55 Median $251.19 Typical High $302.00 | Professional | None (both parts) | $190.55 | $251.19 | $302.00 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $154.88 Typical High $186.21 | Professional | 26 · Professional part | $138.04 | $154.88 | $186.21 |
Univera Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $100.00 Typical High $120.23 | Professional | TC · Technical part | $75.86 | $100.00 | $120.23 |
4 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 $426.58 Median $426.58 Typical High $512.86 | Professional | 52 · Reduced service | $426.58 | $426.58 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $169.82 Typical High $204.17 | Professional | 53 · Discontinued | $169.82 | $169.82 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $125.89 Typical High $151.36 | Professional | 55 · Aftercare only | $125.89 | $125.89 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $85.11 Typical High $102.33 | Professional | 56 · Pre-op care only | $85.11 | $85.11 | $102.33 |
Where New York sits
The same service costs 9.1 times more in Alaska than in Kentucky. 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· 35th of 51
$851
AK $2,188KY $240
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.