How much rates vary
Facilitymedian $214 · 10th to 90th $30 to $479Professionalmedian $112 · 10th to 90th $48 to $309
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 $70.79 Median $123.03 Typical High $645.65 | Facility | None | $70.79 | $123.03 | $645.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $123.03 | Professional | None (both parts) | $70.79 | $70.79 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $32.36 | Professional | 26 · Professional part | $22.39 | $22.39 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $89.13 | Professional | TC · Technical part | $48.98 | $48.98 | $89.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $53.70 Median $181.97 Typical High $371.54 | Professional | None (both parts) | $53.70 | $181.97 | $371.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $48.98 Typical High $97.72 | Professional | 26 · Professional part | $16.22 | $48.98 | $97.72 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $134.90 Typical High $269.15 | Professional | TC · Technical part | $37.15 | $134.90 | $269.15 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $54.95 Median $138.04 Typical High $194.98 | Professional | None (both parts) | $54.95 | $138.04 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $269.15 Typical High $524.81 | Facility | None | $128.82 | $269.15 | $524.81 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $8.91 Median $41.69 Typical High $58.88 | Facility | 26 · Professional part | $8.91 | $41.69 | $58.88 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $26.30 Median $123.03 Typical High $177.83 | Facility | TC · Technical part | $26.30 | $123.03 | $177.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $81.28 Typical High $354.81 | Professional | None (both parts) | $72.44 | $81.28 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $45.71 Typical High $120.23 | Professional | 26 · Professional part | $20.42 | $45.71 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $107.15 Typical High $363.08 | Professional | TC · Technical part | $41.69 | $107.15 | $363.08 |
Emblem Health Setting Facility Modifier None Typical Low $25.12 Median $128.82 Typical High $309.03 | Facility | None | $25.12 | $128.82 | $309.03 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $112.20 Median $120.23 Typical High $223.87 | Professional | None (both parts) | $112.20 | $120.23 | $223.87 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $97.72 | Professional | 26 · Professional part | $26.30 | $26.30 | $97.72 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $97.72 Median $141.25 Typical High $169.82 | Professional | None (both parts) | $97.72 | $141.25 | $169.82 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $34.67 Typical High $39.81 | Professional | 26 · Professional part | $29.51 | $34.67 | $39.81 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $107.15 Typical High $131.83 | Professional | TC · Technical part | $67.61 | $107.15 | $131.83 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $169.82 Typical High $257.04 | Facility | None | $13.80 | $169.82 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $338.84 | Professional | None (both parts) | $44.67 | $44.67 | $338.84 |
United Setting Facility Modifier None Typical Low $104.71 Median $123.03 Typical High $151.36 | Facility | None | $104.71 | $123.03 | $151.36 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $87.10 Typical High $218.78 | Professional | None (both parts) | $72.44 | $87.10 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $23.99 Typical High $63.10 | Professional | 26 · Professional part | $17.38 | $23.99 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $64.57 Typical High $158.49 | Professional | TC · Technical part | $53.70 | $64.57 | $158.49 |
Univera Setting Facility Modifier None Typical Low $87.10 Median $162.18 Typical High $208.93 | Facility | None | $87.10 | $162.18 | $208.93 |
Univera Setting Professional Modifier None (both parts) Typical Low $89.13 Median $141.25 Typical High $169.82 | Professional | None (both parts) | $89.13 | $141.25 | $169.82 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $34.67 Typical High $39.81 | Professional | 26 · Professional part | $20.89 | $34.67 | $39.81 |
Univera Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $107.15 Typical High $131.83 | Professional | TC · Technical part | $67.61 | $107.15 | $131.83 |
2 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 $35.48 Median $35.48 Typical High $60.26 | Professional | 52 · Reduced service | $35.48 | $35.48 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $24.55 | Professional | 53 · Discontinued | $14.13 | $14.13 | $24.55 |
Where New York sits
The same service costs 5.8 times more in Alaska than in Alabama. 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· 38th of 51
$120
AK $331AL $57.54
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.