How much rates vary
Facilitymedian $126 · 10th to 90th $19 to $398Professionalmedian $91 · 10th to 90th $42 to $269
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 $58.88 Median $125.89 Typical High $426.58 | Facility | None | $58.88 | $125.89 | $426.58 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $22.91 Median $30.20 Typical High $95.50 | Facility | 26 · Professional part | $22.91 | $30.20 | $95.50 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $35.48 Median $97.72 Typical High $331.13 | Facility | TC · Technical part | $35.48 | $97.72 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $239.88 | Professional | None (both parts) | $58.88 | $58.88 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $58.88 | Professional | 26 · Professional part | $22.91 | $22.91 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $35.48 Typical High $177.83 | Professional | TC · Technical part | $35.48 | $35.48 | $177.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $41.69 Median $165.96 Typical High $295.12 | Professional | None (both parts) | $41.69 | $165.96 | $295.12 |
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 $25.12 Median $112.20 Typical High $218.78 | Professional | TC · Technical part | $25.12 | $112.20 | $218.78 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $51.29 Median $151.36 Typical High $199.53 | Professional | None (both parts) | $51.29 | $151.36 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $281.84 Typical High $398.11 | Facility | None | $104.71 | $281.84 | $398.11 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $9.55 Median $44.67 Typical High $63.10 | Facility | 26 · Professional part | $9.55 | $44.67 | $63.10 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $23.99 Median $112.20 Typical High $158.49 | Facility | TC · Technical part | $23.99 | $112.20 | $158.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $64.57 Typical High $323.59 | Professional | None (both parts) | $60.26 | $64.57 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $43.65 Typical High $141.25 | Professional | 26 · Professional part | $20.89 | $43.65 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $97.72 Typical High $331.13 | Professional | TC · Technical part | $35.48 | $97.72 | $331.13 |
Emblem Health Setting Facility Modifier None Typical Low $15.14 Median $117.49 Typical High $275.42 | Facility | None | $15.14 | $117.49 | $275.42 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $131.83 Typical High $204.17 | Professional | None (both parts) | $89.13 | $131.83 | $204.17 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $87.10 | Professional | 26 · Professional part | $24.55 | $24.55 | $87.10 |
Excellus BCBS Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $54.95 Median $131.83 Typical High $199.53 | Professional | None (both parts) | $54.95 | $131.83 | $199.53 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $33.11 Typical High $48.98 | Professional | 26 · Professional part | $22.39 | $33.11 | $48.98 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $97.72 Typical High $147.91 | Professional | TC · Technical part | $33.11 | $97.72 | $147.91 |
Highmark BCBS Setting Facility Modifier None Typical Low $74.13 Median $707.95 Typical High $831.76 | Facility | None | $74.13 | $707.95 | $831.76 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $37.15 Typical High $75.86 | Professional | 26 · Professional part | $33.11 | $37.15 | $75.86 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $134.90 Typical High $257.04 | Facility | None | $13.80 | $134.90 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $72.44 Median $79.43 Typical High $309.03 | Professional | None (both parts) | $72.44 | $79.43 | $309.03 |
United Setting Facility Modifier None Typical Low $338.84 Median $398.11 Typical High $489.78 | Facility | None | $338.84 | $398.11 | $489.78 |
United Setting Professional Modifier None (both parts) Typical Low $66.07 Median $79.43 Typical High $204.17 | Professional | None (both parts) | $66.07 | $79.43 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $22.39 Typical High $60.26 | Professional | 26 · Professional part | $16.22 | $22.39 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $58.88 Typical High $144.54 | Professional | TC · Technical part | $47.86 | $58.88 | $144.54 |
Univera Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $147.91 | Facility | None | $19.50 | $19.50 | $147.91 |
Univera Setting Professional Modifier None (both parts) Typical Low $54.95 Median $131.83 Typical High $199.53 | Professional | None (both parts) | $54.95 | $131.83 | $199.53 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $33.11 Typical High $47.86 | Professional | 26 · Professional part | $19.50 | $33.11 | $47.86 |
Univera Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $97.72 Typical High $144.54 | Professional | TC · Technical part | $33.11 | $97.72 | $144.54 |
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 $29.51 Median $29.51 Typical High $63.10 | Professional | 52 · Reduced service | $29.51 | $29.51 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $11.75 Typical High $25.70 | Professional | 53 · Discontinued | $11.75 | $11.75 | $25.70 |
Where New York sits
The same service costs 5.2 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· 50th of 51
$95.50
AK $309AL $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.