How much rates vary
Facilitymedian $2,884 · 10th to 90th $372 to $7,413Professionalmedian $269 · 10th to 90th $219 to $589
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 $331.13 Median $331.13 Typical High $524.81 | Professional | None (both parts) | $331.13 | $331.13 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $89.13 | $112.20 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $416.87 | Professional | TC · Technical part | $213.80 | $213.80 | $416.87 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $218.78 Median $257.04 Typical High $426.58 | Professional | None (both parts) | $218.78 | $257.04 | $426.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $85.11 Typical High $117.49 | Professional | 26 · Professional part | $72.44 | $85.11 | $117.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $169.82 Typical High $295.12 | Professional | TC · Technical part | $144.54 | $169.82 | $295.12 |
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 $128.82 Median $478.63 Typical High $616.60 | Professional | None (both parts) | $128.82 | $478.63 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $407.38 Typical High $1,174.90 | Professional | None (both parts) | $346.74 | $407.38 | $1,174.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $102.33 Typical High $275.42 | Professional | 26 · Professional part | $91.20 | $102.33 | $275.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $316.23 Typical High $794.33 | Professional | TC · Technical part | $257.04 | $316.23 | $794.33 |
Emblem Health Setting Facility Modifier None Typical Low $60.26 Median $331.13 Typical High $1,174.90 | Facility | None | $60.26 | $331.13 | $1,174.90 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $416.87 Median $467.74 Typical High $707.95 | Professional | None (both parts) | $416.87 | $467.74 | $707.95 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $112.20 Typical High $173.78 | Professional | 26 · Professional part | $58.88 | $112.20 | $173.78 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $371.54 Typical High $537.03 | Professional | TC · Technical part | $363.08 | $371.54 | $537.03 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $234.42 Median $371.54 Typical High $575.44 | Professional | None (both parts) | $234.42 | $371.54 | $575.44 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $75.86 Typical High $131.83 | Professional | 26 · Professional part | $63.10 | $75.86 | $131.83 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $281.84 Typical High $436.52 | Professional | TC · Technical part | $158.49 | $281.84 | $436.52 |
MVP Health Care Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $831.76 | Professional | None (both parts) | $114.82 | $114.82 | $831.76 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $125.89 Typical High $234.42 | Professional | 26 · Professional part | $91.20 | $125.89 | $234.42 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $371.54 Typical High $891.25 | Professional | TC · Technical part | $281.84 | $371.54 | $891.25 |
United Setting Facility Modifier None Typical Low $758.58 Median $2,818.38 Typical High $4,897.79 | Facility | None | $758.58 | $2,818.38 | $4,897.79 |
United Setting Professional Modifier None (both parts) Typical Low $281.84 Median $380.19 Typical High $851.14 | Professional | None (both parts) | $281.84 | $380.19 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $97.72 Typical High $213.80 | Professional | 26 · Professional part | $74.13 | $97.72 | $213.80 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $288.40 Typical High $645.65 | Professional | TC · Technical part | $218.78 | $288.40 | $645.65 |
Univera Setting Facility Modifier None Typical Low $323.59 Median $380.19 Typical High $812.83 | Facility | None | $323.59 | $380.19 | $812.83 |
Univera Setting Professional Modifier None (both parts) Typical Low $234.42 Median $371.54 Typical High $562.34 | Professional | None (both parts) | $234.42 | $371.54 | $562.34 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $75.86 Typical High $131.83 | Professional | 26 · Professional part | $60.26 | $75.86 | $131.83 |
Univera Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $281.84 Typical High $436.52 | Professional | TC · Technical part | $158.49 | $281.84 | $436.52 |
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 $162.18 Median $162.18 Typical High $257.04 | Professional | 52 · Reduced service | $162.18 | $162.18 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $104.71 | Professional | 53 · Discontinued | $66.07 | $66.07 | $104.71 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $251.19 Typical High $562.34 | Professional | 53 · Discontinued | $186.21 | $251.19 | $562.34 |
Where New York sits
The same service costs 6.5 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· 49th of 51
$269
AK $1,413KY $219
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.