How much rates vary
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 $63.10 Median $109.65 Typical High $173.78 | Professional | None (both parts) | $63.10 | $109.65 | $173.78 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $151.36 Typical High $257.04 | Facility | None | $107.15 | $151.36 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $302.00 | Professional | None (both parts) | $151.36 | $151.36 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $120.23 | $120.23 | $120.23 |
Univera Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
4 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 |
|---|---|---|---|---|---|
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $91.20 Median $123.03 Typical High $251.19 | Professional | GL · Free upgrade | $91.20 | $123.03 | $251.19 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $58.88 Typical High $83.18 | Professional | 26 · Professional part | $50.12 | $58.88 | $83.18 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $79.43 Typical High $120.23 | Professional | 53 · Discontinued | $67.61 | $79.43 | $120.23 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $102.33 Typical High $147.91 | Professional | TC · Technical part | $85.11 | $102.33 | $147.91 |
Where New York sits
The same service costs 13.5 times more in California than in Florida. 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· 31st of 39
$151
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.