How much rates vary
Facilitymedian $155 · 10th to 90th $26 to $525Professionalmedian $135 · 10th to 90th $71 to $339
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 $109.65 Median $141.25 Typical High $478.63 | Facility | None | $109.65 | $141.25 | $478.63 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $24.55 Median $31.62 Typical High $102.33 | Facility | 26 · Professional part | $24.55 | $31.62 | $102.33 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $85.11 Median $109.65 Typical High $380.19 | Facility | TC · Technical part | $85.11 | $109.65 | $380.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $331.13 | Professional | None (both parts) | $109.65 | $109.65 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $69.18 | Professional | 26 · Professional part | $24.55 | $24.55 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $251.19 | Professional | TC · Technical part | $85.11 | $85.11 | $251.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $70.79 Median $208.93 Typical High $436.52 | Professional | None (both parts) | $70.79 | $208.93 | $436.52 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $45.71 Typical High $97.72 | Professional | 26 · Professional part | $16.60 | $45.71 | $97.72 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $165.96 Typical High $346.74 | Professional | TC · Technical part | $54.95 | $165.96 | $346.74 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $53.70 Median $190.55 Typical High $245.47 | Professional | None (both parts) | $53.70 | $190.55 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $363.08 Typical High $489.78 | Facility | None | $165.96 | $363.08 | $489.78 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $32.36 Median $147.91 Typical High $213.80 | Facility | 26 · Professional part | $32.36 | $147.91 | $213.80 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $46.77 Median $218.78 Typical High $316.23 | Facility | TC · Technical part | $46.77 | $218.78 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $138.04 Typical High $398.11 | Professional | None (both parts) | $102.33 | $138.04 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $44.67 Typical High $134.90 | Professional | 26 · Professional part | $22.39 | $44.67 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $131.83 Typical High $436.52 | Professional | TC · Technical part | $50.12 | $131.83 | $436.52 |
Emblem Health Setting Facility Modifier None Typical Low $53.70 Median $154.88 Typical High $371.54 | Facility | None | $53.70 | $154.88 | $371.54 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $112.20 Median $169.82 Typical High $263.03 | Professional | None (both parts) | $112.20 | $169.82 | $263.03 |
Excellus BCBS Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $72.44 Median $165.96 Typical High $234.42 | Professional | None (both parts) | $72.44 | $165.96 | $234.42 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $35.48 Typical High $52.48 | Professional | 26 · Professional part | $29.51 | $35.48 | $52.48 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $123.03 Typical High $186.21 | Professional | TC · Technical part | $43.65 | $123.03 | $186.21 |
Highmark BCBS Setting Facility Modifier None Typical Low $97.72 Median $724.44 Typical High $1,000.00 | Facility | None | $97.72 | $724.44 | $1,000.00 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $35.48 Median $158.49 Typical High $177.83 | Professional | None (both parts) | $35.48 | $158.49 | $177.83 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $154.88 Typical High $269.15 | Facility | None | $13.80 | $154.88 | $269.15 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $426.58 | Professional | None (both parts) | $123.03 | $123.03 | $426.58 |
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 $89.13 Median $104.71 Typical High $269.15 | Professional | None (both parts) | $89.13 | $104.71 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $23.99 Typical High $61.66 | Professional | 26 · Professional part | $17.78 | $23.99 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $81.28 Typical High $208.93 | Professional | TC · Technical part | $70.79 | $81.28 | $208.93 |
Univera Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $177.83 | Facility | None | $25.70 | $25.70 | $177.83 |
Univera Setting Professional Modifier None (both parts) Typical Low $72.44 Median $158.49 Typical High $234.42 | Professional | None (both parts) | $72.44 | $158.49 | $234.42 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $35.48 Typical High $52.48 | Professional | 26 · Professional part | $20.89 | $35.48 | $52.48 |
Univera Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $104.71 Typical High $186.21 | Professional | TC · Technical part | $43.65 | $104.71 | $186.21 |
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 $54.95 Median $54.95 Typical High $70.79 | Professional | 52 · Reduced service | $54.95 | $54.95 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $28.18 | Professional | 53 · Discontinued | $21.88 | $21.88 | $28.18 |
Where New York sits
The same service costs 7.1 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· 43rd of 51
$135
AK $417AL $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.