How much rates vary
Facilitymedian $132 · 10th to 90th $13 to $257Professionalmedian $69 · 10th to 90th $35 to $200
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 $48.98 Median $75.86 Typical High $204.17 | Facility | None | $48.98 | $75.86 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $48.98 Typical High $109.65 | Professional | None (both parts) | $48.98 | $48.98 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $13.80 Typical High $29.51 | Professional | 26 · Professional part | $13.80 | $13.80 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $34.67 Typical High $79.43 | Professional | TC · Technical part | $34.67 | $34.67 | $79.43 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $34.67 Median $123.03 Typical High $223.87 | Professional | None (both parts) | $34.67 | $123.03 | $223.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $27.54 Typical High $56.23 | Professional | 26 · Professional part | $9.55 | $27.54 | $56.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $93.33 Typical High $173.78 | Professional | TC · Technical part | $25.12 | $93.33 | $173.78 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $30.20 Median $109.65 Typical High $141.25 | Professional | None (both parts) | $30.20 | $109.65 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $208.93 Typical High $588.84 | Facility | None | $97.72 | $208.93 | $588.84 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $5.25 Median $23.99 Typical High $34.67 | Facility | 26 · Professional part | $5.25 | $23.99 | $34.67 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $15.14 Median $70.79 Typical High $100.00 | Facility | TC · Technical part | $15.14 | $70.79 | $100.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $56.23 Typical High $245.47 | Professional | None (both parts) | $45.71 | $56.23 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $26.30 Typical High $77.62 | Professional | 26 · Professional part | $12.59 | $26.30 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $81.28 Typical High $234.42 | Professional | TC · Technical part | $32.36 | $81.28 | $234.42 |
Emblem Health Setting Facility Modifier None Typical Low $7.08 Median $72.44 Typical High $169.82 | Facility | None | $7.08 | $72.44 | $169.82 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $61.66 Median $81.28 Typical High $123.03 | Professional | None (both parts) | $61.66 | $81.28 | $123.03 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $13.80 Typical High $36.31 | Professional | 26 · Professional part | $13.80 | $13.80 | $36.31 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $67.61 Median $79.43 Typical High $120.23 | Professional | None (both parts) | $67.61 | $79.43 | $120.23 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $18.62 Typical High $28.18 | Professional | 26 · Professional part | $15.85 | $18.62 | $28.18 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $60.26 Typical High $93.33 | Professional | TC · Technical part | $51.29 | $60.26 | $93.33 |
Highmark BCBS Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $89.13 Typical High $257.04 | Facility | None | $13.80 | $89.13 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $32.36 Median $67.61 Typical High $239.88 | Professional | None (both parts) | $32.36 | $67.61 | $239.88 |
United Setting Professional Modifier None (both parts) Typical Low $42.66 Median $58.88 Typical High $154.88 | Professional | None (both parts) | $42.66 | $58.88 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $13.49 Typical High $36.31 | Professional | 26 · Professional part | $9.12 | $13.49 | $36.31 |
United Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $45.71 Typical High $120.23 | Professional | TC · Technical part | $33.88 | $45.71 | $120.23 |
Univera Setting Facility Modifier None Typical Low $46.77 Median $87.10 Typical High $177.83 | Facility | None | $46.77 | $87.10 | $177.83 |
Univera Setting Professional Modifier None (both parts) Typical Low $47.86 Median $77.62 Typical High $117.49 | Professional | None (both parts) | $47.86 | $77.62 | $117.49 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $18.62 Typical High $27.54 | Professional | 26 · Professional part | $10.96 | $18.62 | $27.54 |
Univera Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $60.26 Typical High $91.20 | Professional | TC · Technical part | $36.31 | $60.26 | $91.20 |
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 $24.55 Median $24.55 Typical High $40.74 | Professional | 52 · Reduced service | $24.55 | $24.55 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $9.77 Typical High $16.22 | Professional | 53 · Discontinued | $9.77 | $9.77 | $16.22 |
Where New York sits
The same service costs 4.0 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· 42nd of 51
$74.13
AK $234AL $58.88
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.