How much rates vary
Facilitymedian $1,738 · 10th to 90th $178 to $6,457Professionalmedian $195 · 10th to 90th $129 to $324
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 $1,348.96 Median $4,365.16 Typical High $8,128.31 | Facility | None | $1,348.96 | $4,365.16 | $8,128.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $138.04 Typical High $436.52 | Professional | None (both parts) | $134.90 | $138.04 | $436.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $47.86 Typical High $69.18 | Professional | 26 · Professional part | $44.67 | $47.86 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $91.20 Typical High $204.17 | Professional | TC · Technical part | $87.10 | $91.20 | $204.17 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $165.96 Median $208.93 Typical High $295.12 | Professional | None (both parts) | $165.96 | $208.93 | $295.12 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $40.74 Typical High $70.79 | Professional | 26 · Professional part | $33.88 | $40.74 | $70.79 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $165.96 Typical High $208.93 | Professional | TC · Technical part | $134.90 | $165.96 | $208.93 |
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 $56.23 Median $208.93 Typical High $263.03 | Professional | None (both parts) | $56.23 | $208.93 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $1,445.44 Typical High $1,949.84 | Facility | None | $100.00 | $1,445.44 | $1,949.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $208.93 Typical High $724.44 | Professional | None (both parts) | $173.78 | $208.93 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $48.98 Typical High $162.18 | Professional | 26 · Professional part | $33.88 | $48.98 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $165.96 Typical High $562.34 | Professional | TC · Technical part | $128.82 | $165.96 | $562.34 |
Emblem Health Setting Facility Modifier None Typical Low $64.57 Median $138.04 Typical High $457.09 | Facility | None | $64.57 | $138.04 | $457.09 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $25.70 Median $245.47 Typical High $288.40 | Professional | None (both parts) | $25.70 | $245.47 | $288.40 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $47.86 Typical High $77.62 | Professional | 26 · Professional part | $41.69 | $47.86 | $77.62 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $147.91 Typical High $239.88 | Professional | TC · Technical part | $138.04 | $147.91 | $239.88 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $114.82 Median $162.18 Typical High $263.03 | Professional | None (both parts) | $114.82 | $162.18 | $263.03 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $38.02 Typical High $61.66 | Professional | 26 · Professional part | $27.54 | $38.02 | $61.66 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $123.03 Typical High $199.53 | Professional | TC · Technical part | $89.13 | $123.03 | $199.53 |
Highmark BCBS Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
MVP Health Care Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $407.38 | Professional | None (both parts) | $95.50 | $95.50 | $407.38 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $53.70 Typical High $79.43 | Professional | 26 · Professional part | $41.69 | $53.70 | $79.43 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $162.18 Typical High $295.12 | Professional | TC · Technical part | $120.23 | $162.18 | $295.12 |
United Setting Facility Modifier None Typical Low $363.08 Median $1,318.26 Typical High $4,365.16 | Facility | None | $363.08 | $1,318.26 | $4,365.16 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $165.96 Typical High $457.09 | Professional | None (both parts) | $125.89 | $165.96 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $42.66 Typical High $109.65 | Professional | 26 · Professional part | $31.62 | $42.66 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $125.89 Typical High $363.08 | Professional | TC · Technical part | $95.50 | $125.89 | $363.08 |
Univera Setting Facility Modifier None Typical Low $134.90 Median $181.97 Typical High $398.11 | Facility | None | $134.90 | $181.97 | $398.11 |
Univera Setting Facility Modifier 26 · Professional part Typical Low $32.36 Median $36.31 Typical High $173.78 | Facility | 26 · Professional part | $32.36 | $36.31 | $173.78 |
Univera Setting Facility Modifier TC · Technical part Typical Low $75.86 Median $144.54 Typical High $245.47 | Facility | TC · Technical part | $75.86 | $144.54 | $245.47 |
Univera Setting Professional Modifier None (both parts) Typical Low $114.82 Median $162.18 Typical High $239.88 | Professional | None (both parts) | $114.82 | $162.18 | $239.88 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $38.02 Typical High $57.54 | Professional | 26 · Professional part | $27.54 | $38.02 | $57.54 |
Univera Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $123.03 Typical High $181.97 | Professional | TC · Technical part | $89.13 | $123.03 | $181.97 |
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 $67.61 Median $67.61 Typical High $114.82 | Professional | 52 · Reduced service | $67.61 | $67.61 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $45.71 | Professional | 53 · Discontinued | $26.92 | $26.92 | $45.71 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $107.15 Typical High $190.55 | Professional | 53 · Discontinued | $81.28 | $107.15 | $190.55 |
Where New York sits
The same service costs 5.6 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· 39th of 51
$195
AK $759TX $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.