How much rates vary
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 $218.78 Median $398.11 Typical High $1,288.25 | Facility | None | $218.78 | $398.11 | $1,288.25 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $46.77 Median $66.07 Typical High $208.93 | Facility | 26 · Professional part | $46.77 | $66.07 | $208.93 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $173.78 Median $346.74 Typical High $1,122.02 | Facility | TC · Technical part | $173.78 | $346.74 | $1,122.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $831.76 | Professional | None (both parts) | $218.78 | $218.78 | $831.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $120.23 | Professional | 26 · Professional part | $46.77 | $46.77 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $173.78 Typical High $724.44 | Professional | TC · Technical part | $173.78 | $173.78 | $724.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $281.84 Median $562.34 Typical High $1,230.27 | Professional | None (both parts) | $281.84 | $562.34 | $1,230.27 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $97.72 Typical High $190.55 | Professional | 26 · Professional part | $31.62 | $97.72 | $190.55 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $457.09 Typical High $1,047.13 | Professional | TC · Technical part | $251.19 | $457.09 | $1,047.13 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $109.65 Median $489.78 Typical High $588.84 | Professional | None (both parts) | $109.65 | $489.78 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $912.01 Typical High $2,691.53 | Facility | None | $489.78 | $912.01 | $2,691.53 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $18.20 Median $85.11 Typical High $120.23 | Facility | 26 · Professional part | $18.20 | $85.11 | $120.23 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $125.89 Median $588.84 Typical High $851.14 | Facility | TC · Technical part | $125.89 | $588.84 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $234.42 Typical High $1,230.27 | Professional | None (both parts) | $162.18 | $234.42 | $1,230.27 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $97.72 Typical High $257.04 | Professional | 26 · Professional part | $41.69 | $97.72 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $380.19 Typical High $1,949.84 | Professional | TC · Technical part | $165.96 | $380.19 | $1,949.84 |
Emblem Health Setting Facility Modifier None Typical Low $20.42 Median $457.09 Typical High $1,096.48 | Facility | None | $20.42 | $457.09 | $1,096.48 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $363.08 Median $478.63 Typical High $724.44 | Professional | None (both parts) | $363.08 | $478.63 | $724.44 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $467.74 | Professional | 26 · Professional part | $53.70 | $53.70 | $467.74 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $389.05 Median $457.09 Typical High $691.83 | Professional | None (both parts) | $389.05 | $457.09 | $691.83 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $70.79 Typical High $107.15 | Professional | 26 · Professional part | $60.26 | $70.79 | $107.15 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $389.05 Typical High $575.44 | Professional | TC · Technical part | $323.59 | $389.05 | $575.44 |
Highmark BCBS Setting Facility Modifier None Typical Low $851.14 Median $1,096.48 Typical High $1,548.82 | Facility | None | $851.14 | $1,096.48 | $1,548.82 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $158.49 | Professional | 26 · Professional part | $79.43 | $79.43 | $158.49 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $407.38 Typical High $812.83 | Facility | None | $13.80 | $407.38 | $812.83 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $954.99 | Professional | None (both parts) | $181.97 | $181.97 | $954.99 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $1,905.46 Typical High $2,344.23 | Facility | None | $1,621.81 | $1,905.46 | $2,344.23 |
United Setting Professional Modifier None (both parts) Typical Low $208.93 Median $257.04 Typical High $660.69 | Professional | None (both parts) | $208.93 | $257.04 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $47.86 Typical High $125.89 | Professional | 26 · Professional part | $35.48 | $47.86 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $218.78 Typical High $562.34 | Professional | TC · Technical part | $169.82 | $218.78 | $562.34 |
Univera Setting Facility Modifier None Typical Low $114.82 Median $371.54 Typical High $1,096.48 | Facility | None | $114.82 | $371.54 | $1,096.48 |
Univera Setting Professional Modifier None (both parts) Typical Low $275.42 Median $457.09 Typical High $676.08 | Professional | None (both parts) | $275.42 | $457.09 | $676.08 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $70.79 Typical High $104.71 | Professional | 26 · Professional part | $42.66 | $70.79 | $104.71 |
Univera Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $389.05 Typical High $575.44 | Professional | TC · Technical part | $229.09 | $389.05 | $575.44 |
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 $109.65 Median $109.65 Typical High $199.53 | Professional | 52 · Reduced service | $109.65 | $109.65 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $79.43 | Professional | 53 · Discontinued | $43.65 | $43.65 | $79.43 |
Where New York sits
The same service costs 11.5 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· 45th of 51
$380
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.