How much rates vary
Facilitymedian $1,318 · 10th to 90th $191 to $6,310Professionalmedian $182 · 10th to 90th $141 to $437
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 $1,513.56 Median $4,365.16 Typical High $8,128.31 | Facility | None | $1,513.56 | $4,365.16 | $8,128.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $537.03 | Professional | None (both parts) | $229.09 | $229.09 | $537.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $91.20 Typical High $134.90 | Professional | 26 · Professional part | $87.10 | $91.20 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $239.88 | Professional | TC · Technical part | $134.90 | $134.90 | $239.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $147.91 Median $173.78 Typical High $407.38 | Professional | None (both parts) | $147.91 | $173.78 | $407.38 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $70.79 Typical High $131.83 | Professional | 26 · Professional part | $60.26 | $70.79 | $131.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $102.33 Typical High $263.03 | Professional | TC · Technical part | $87.10 | $102.33 | $263.03 |
CDPHP Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $4,073.80 | Facility | None | $1,348.96 | $1,348.96 | $4,073.80 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $107.15 Median $213.80 Typical High $323.59 | Professional | None (both parts) | $107.15 | $213.80 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $323.59 Typical High $1,479.11 | Facility | None | $169.82 | $323.59 | $1,479.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $263.03 Typical High $933.25 | Professional | None (both parts) | $204.17 | $263.03 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $91.20 Typical High $302.00 | Professional | 26 · Professional part | $63.10 | $91.20 | $302.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $169.82 Typical High $588.84 | Professional | TC · Technical part | $141.25 | $169.82 | $588.84 |
Emblem Health Setting Facility Modifier None Typical Low $50.12 Median $144.54 Typical High $478.63 | Facility | None | $50.12 | $144.54 | $478.63 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $10.23 Median $245.47 Typical High $288.40 | Professional | None (both parts) | $10.23 | $245.47 | $288.40 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $93.33 Typical High $151.36 | Professional | 26 · Professional part | $75.86 | $93.33 | $151.36 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $154.88 Typical High $251.19 | Professional | TC · Technical part | $125.89 | $154.88 | $251.19 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $144.54 Median $199.53 Typical High $323.59 | Professional | None (both parts) | $144.54 | $199.53 | $323.59 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $74.13 Typical High $117.49 | Professional | 26 · Professional part | $52.48 | $74.13 | $117.49 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $125.89 Typical High $204.17 | Professional | TC · Technical part | $91.20 | $125.89 | $204.17 |
MVP Health Care Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $524.81 | Professional | None (both parts) | $141.25 | $141.25 | $524.81 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $100.00 Typical High $151.36 | Professional | 26 · Professional part | $77.62 | $100.00 | $151.36 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $181.97 Typical High $302.00 | Professional | TC · Technical part | $134.90 | $181.97 | $302.00 |
United Setting Facility Modifier None Typical Low $363.08 Median $1,148.15 Typical High $4,365.16 | Facility | None | $363.08 | $1,148.15 | $4,365.16 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $218.78 Typical High $575.44 | Professional | None (both parts) | $162.18 | $218.78 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $79.43 Typical High $204.17 | Professional | 26 · Professional part | $58.88 | $79.43 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $141.25 Typical High $380.19 | Professional | TC · Technical part | $102.33 | $141.25 | $380.19 |
Univera Setting Facility Modifier None Typical Low $169.82 Median $208.93 Typical High $660.69 | Facility | None | $169.82 | $208.93 | $660.69 |
Univera Setting Facility Modifier 26 · Professional part Typical Low $58.88 Median $61.66 Typical High $263.03 | Facility | 26 · Professional part | $58.88 | $61.66 | $263.03 |
Univera Setting Facility Modifier TC · Technical part Typical Low $107.15 Median $151.36 Typical High $380.19 | Facility | TC · Technical part | $107.15 | $151.36 | $380.19 |
Univera Setting Professional Modifier None (both parts) Typical Low $144.54 Median $199.53 Typical High $302.00 | Professional | None (both parts) | $144.54 | $199.53 | $302.00 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $74.13 Typical High $109.65 | Professional | 26 · Professional part | $52.48 | $74.13 | $109.65 |
Univera Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $125.89 Typical High $190.55 | Professional | TC · Technical part | $91.20 | $125.89 | $190.55 |
3 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 $114.82 Median $114.82 Typical High $134.90 | Professional | 52 · Reduced service | $114.82 | $114.82 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $53.70 | Professional | 53 · Discontinued | $45.71 | $45.71 | $53.70 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $141.25 Typical High $229.09 | Professional | 53 · Discontinued | $107.15 | $141.25 | $229.09 |
Where New York sits
The same service costs 5.2 times more in Wisconsin than in Utah. 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· 48th of 51
$186
WI $708UT $135
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.