How much rates vary
Facilitymedian $1,318 · 10th to 90th $229 to $6,310Professionalmedian $257 · 10th to 90th $195 to $603
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 $316.23 Median $316.23 Typical High $794.33 | Professional | None (both parts) | $316.23 | $316.23 | $794.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $102.33 Typical High $154.88 | Professional | 26 · Professional part | $97.72 | $102.33 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $363.08 | Professional | TC · Technical part | $218.78 | $218.78 | $363.08 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $208.93 Median $245.47 Typical High $549.54 | Professional | None (both parts) | $208.93 | $245.47 | $549.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $79.43 Typical High $147.91 | Professional | 26 · Professional part | $67.61 | $79.43 | $147.91 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $165.96 Typical High $398.11 | Professional | TC · Technical part | $141.25 | $165.96 | $398.11 |
CDPHP Setting Facility Modifier None Typical Low $1,148.15 Median $1,348.96 Typical High $4,073.80 | Facility | None | $1,148.15 | $1,348.96 | $4,073.80 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $120.23 Median $316.23 Typical High $436.52 | Professional | None (both parts) | $120.23 | $316.23 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $380.19 Typical High $1,479.11 | Facility | None | $190.55 | $380.19 | $1,479.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $354.81 Typical High $1,258.93 | Professional | None (both parts) | $269.15 | $354.81 | $1,258.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $102.33 Typical High $331.13 | Professional | 26 · Professional part | $70.79 | $102.33 | $331.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $257.04 Typical High $891.25 | Professional | TC · Technical part | $199.53 | $257.04 | $891.25 |
Emblem Health Setting Facility Modifier None Typical Low $74.13 Median $223.87 Typical High $741.31 | Facility | None | $74.13 | $223.87 | $741.31 |
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 $89.13 Median $102.33 Typical High $165.96 | Professional | 26 · Professional part | $89.13 | $102.33 | $165.96 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $239.88 Typical High $389.05 | Professional | TC · Technical part | $223.87 | $239.88 | $389.05 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $194.98 Median $269.15 Typical High $436.52 | Professional | None (both parts) | $194.98 | $269.15 | $436.52 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $81.28 Typical High $134.90 | Professional | 26 · Professional part | $58.88 | $81.28 | $134.90 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $186.21 Typical High $302.00 | Professional | TC · Technical part | $134.90 | $186.21 | $302.00 |
MVP Health Care Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $707.95 | Professional | None (both parts) | $151.36 | $151.36 | $707.95 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $112.20 Typical High $169.82 | Professional | 26 · Professional part | $87.10 | $112.20 | $169.82 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $275.42 Typical High $436.52 | Professional | TC · Technical part | $204.17 | $275.42 | $436.52 |
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 $223.87 Median $295.12 Typical High $794.33 | Professional | None (both parts) | $223.87 | $295.12 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $89.13 Typical High $223.87 | Professional | 26 · Professional part | $64.57 | $89.13 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $208.93 Typical High $575.44 | Professional | TC · Technical part | $154.88 | $208.93 | $575.44 |
Univera Setting Facility Modifier None Typical Low $229.09 Median $275.42 Typical High $933.25 | Facility | None | $229.09 | $275.42 | $933.25 |
Univera Setting Facility Modifier 26 · Professional part Typical Low $66.07 Median $69.18 Typical High $295.12 | Facility | 26 · Professional part | $66.07 | $69.18 | $295.12 |
Univera Setting Facility Modifier TC · Technical part Typical Low $158.49 Median $208.93 Typical High $616.60 | Facility | TC · Technical part | $158.49 | $208.93 | $616.60 |
Univera Setting Professional Modifier None (both parts) Typical Low $194.98 Median $269.15 Typical High $436.52 | Professional | None (both parts) | $194.98 | $269.15 | $436.52 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $81.28 Typical High $131.83 | Professional | 26 · Professional part | $58.88 | $81.28 | $131.83 |
Univera Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $186.21 Typical High $302.00 | Professional | TC · Technical part | $134.90 | $186.21 | $302.00 |
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 $158.49 Median $158.49 Typical High $177.83 | Professional | 52 · Reduced service | $158.49 | $158.49 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $70.79 | Professional | 53 · Discontinued | $64.57 | $64.57 | $70.79 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $190.55 Typical High $302.00 | Professional | 53 · Discontinued | $144.54 | $190.55 | $302.00 |
Where New York sits
The same service costs 4.8 times more in Alaska 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
$257
AK $1,000UT $209
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.