How much rates vary
Facilitymedian $155 · 10th to 90th $107 to $257Professionalmedian $33 · 10th to 90th $23 to $56
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 |
|---|---|---|---|---|---|
CDPHP Setting Professional Modifier None (both parts) Typical Low $23.44 Median $33.11 Typical High $56.23 | Professional | None (both parts) | $23.44 | $33.11 | $56.23 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $48.98 Median $57.54 Typical High $57.54 | Professional | GL · Free upgrade | $48.98 | $57.54 | $57.54 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $154.88 Typical High $257.04 | Facility | None | $107.15 | $154.88 | $257.04 |
1 more rate 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 |
|---|---|---|---|---|---|
Emblem Health Setting Facility Modifier TC · Technical part Typical Low $34.67 Median $34.67 Typical High $41.69 | Facility | TC · Technical part | $34.67 | $34.67 | $41.69 |