How much rates vary
Facilitymedian $257 · 10th to 90th $155 to $794Professionalmedian $224 · 10th to 90th $78 to $562
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 $194.98 Median $239.88 Typical High $676.08 | Facility | None | $194.98 | $239.88 | $676.08 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $52.48 Median $69.18 Typical High $190.55 | Facility | 26 · Professional part | $52.48 | $69.18 | $190.55 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $144.54 Median $169.82 Typical High $575.44 | Facility | TC · Technical part | $144.54 | $169.82 | $575.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $524.81 | Professional | None (both parts) | $194.98 | $194.98 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $151.36 | Professional | 26 · Professional part | $52.48 | $52.48 | $151.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $389.05 | Professional | TC · Technical part | $144.54 | $144.54 | $389.05 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $257.04 | $257.04 | $257.04 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $107.15 Median $363.08 Typical High $741.31 | Professional | None (both parts) | $107.15 | $363.08 | $741.31 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $107.15 Typical High $199.53 | Professional | 26 · Professional part | $35.48 | $107.15 | $199.53 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $257.04 Typical High $537.03 | Professional | TC · Technical part | $72.44 | $257.04 | $537.03 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $117.49 Median $281.84 Typical High $398.11 | Professional | None (both parts) | $117.49 | $281.84 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $537.03 Typical High $794.33 | Facility | None | $257.04 | $537.03 | $794.33 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $21.38 Median $100.00 Typical High $141.25 | Facility | 26 · Professional part | $21.38 | $100.00 | $141.25 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $51.29 Median $239.88 Typical High $346.74 | Facility | TC · Technical part | $51.29 | $239.88 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $165.96 Typical High $776.25 | Professional | None (both parts) | $134.90 | $165.96 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $102.33 Typical High $281.84 | Professional | 26 · Professional part | $45.71 | $102.33 | $281.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $218.78 Typical High $724.44 | Professional | TC · Technical part | $83.18 | $218.78 | $724.44 |
Emblem Health Setting Facility Modifier None Typical Low $19.95 Median $229.09 Typical High $537.03 | Facility | None | $19.95 | $229.09 | $537.03 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $177.83 Median $275.42 Typical High $416.87 | Professional | None (both parts) | $177.83 | $275.42 | $416.87 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $77.62 Typical High $147.91 | Professional | 26 · Professional part | $57.54 | $77.62 | $147.91 |
Excellus BCBS Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $53.70 Median $269.15 Typical High $501.19 | Professional | None (both parts) | $53.70 | $269.15 | $501.19 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $75.86 Typical High $204.17 | Professional | 26 · Professional part | $21.38 | $75.86 | $204.17 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $190.55 Typical High $302.00 | Professional | TC · Technical part | $32.36 | $190.55 | $302.00 |
Fidelis Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 26 · Professional part | $109.65 | $109.65 | $109.65 |
Highmark BCBS Setting Facility Modifier None Typical Low $371.54 Median $588.84 Typical High $1,122.02 | Facility | None | $371.54 | $588.84 | $1,122.02 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $102.33 Typical High $398.11 | Professional | 26 · Professional part | $75.86 | $102.33 | $398.11 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $416.87 | Facility | None | $13.80 | $257.04 | $416.87 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $676.08 | Professional | None (both parts) | $77.62 | $77.62 | $676.08 |
United Setting Facility Modifier None Typical Low $724.44 Median $831.76 Typical High $1,047.13 | Facility | None | $724.44 | $831.76 | $1,047.13 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $177.83 Typical High $436.52 | Professional | None (both parts) | $144.54 | $177.83 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $51.29 Typical High $141.25 | Professional | 26 · Professional part | $38.02 | $51.29 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $123.03 Typical High $302.00 | Professional | TC · Technical part | $104.71 | $123.03 | $302.00 |
Univera Setting Facility Modifier None Typical Low $154.88 Median $177.83 Typical High $295.12 | Facility | None | $154.88 | $177.83 | $295.12 |
Univera Setting Professional Modifier None (both parts) Typical Low $53.70 Median $263.03 Typical High $501.19 | Professional | None (both parts) | $53.70 | $263.03 | $501.19 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $75.86 Typical High $204.17 | Professional | 26 · Professional part | $21.38 | $75.86 | $204.17 |
Univera Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $190.55 Typical High $302.00 | Professional | TC · Technical part | $32.36 | $190.55 | $302.00 |
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 $97.72 Median $97.72 Typical High $117.49 | Professional | 52 · Reduced service | $97.72 | $97.72 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $47.86 | Professional | 53 · Discontinued | $38.90 | $38.90 | $47.86 |
Where New York sits
The same service costs 4.2 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· 39th of 51
$234
AK $575AL $138
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.