How much rates vary
Facilitymedian $145 · 10th to 90th $15 to $427Professionalmedian $135 · 10th to 90th $78 to $316
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 $97.72 Median $117.49 Typical High $302.00 | Facility | None | $97.72 | $117.49 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $147.91 | Professional | None (both parts) | $97.72 | $97.72 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $69.18 | Professional | 26 · Professional part | $48.98 | $48.98 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $79.43 | Professional | TC · Technical part | $46.77 | $46.77 | $79.43 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $77.62 Median $181.97 Typical High $398.11 | Professional | None (both parts) | $77.62 | $181.97 | $398.11 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $102.33 Typical High $204.17 | Professional | 26 · Professional part | $33.88 | $102.33 | $204.17 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $77.62 Typical High $199.53 | Professional | TC · Technical part | $44.67 | $77.62 | $199.53 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $83.18 Median $120.23 Typical High $204.17 | Professional | None (both parts) | $83.18 | $120.23 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $158.49 Typical High $478.63 | Facility | None | $87.10 | $158.49 | $478.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $154.88 Typical High $446.68 | Professional | None (both parts) | $87.10 | $154.88 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $102.33 Typical High $288.40 | Professional | 26 · Professional part | $46.77 | $102.33 | $288.40 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $83.18 Typical High $389.05 | Professional | TC · Technical part | $33.11 | $83.18 | $389.05 |
Emblem Health Setting Facility Modifier None Typical Low $12.59 Median $70.79 Typical High $165.96 | Facility | None | $12.59 | $70.79 | $165.96 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $104.71 Median $134.90 Typical High $204.17 | Professional | None (both parts) | $104.71 | $134.90 | $204.17 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $151.36 | Professional | 26 · Professional part | $57.54 | $57.54 | $151.36 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $114.82 Median $134.90 Typical High $204.17 | Professional | None (both parts) | $114.82 | $134.90 | $204.17 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $77.62 Typical High $114.82 | Professional | 26 · Professional part | $64.57 | $77.62 | $114.82 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $58.88 Typical High $87.10 | Professional | TC · Technical part | $47.86 | $58.88 | $87.10 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $100.00 Typical High $257.04 | Facility | None | $13.80 | $100.00 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $97.72 Median $134.90 Typical High $323.59 | Professional | None (both parts) | $97.72 | $134.90 | $323.59 |
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 $70.79 Median $89.13 Typical High $229.09 | Professional | None (both parts) | $70.79 | $89.13 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $51.29 Typical High $131.83 | Professional | 26 · Professional part | $38.02 | $51.29 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $35.48 Typical High $100.00 | Professional | TC · Technical part | $29.51 | $35.48 | $100.00 |
Univera Setting Facility Modifier None Typical Low $79.43 Median $147.91 Typical High $630.96 | Facility | None | $79.43 | $147.91 | $630.96 |
Univera Setting Professional Modifier None (both parts) Typical Low $79.43 Median $134.90 Typical High $199.53 | Professional | None (both parts) | $79.43 | $134.90 | $199.53 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $77.62 Typical High $114.82 | Professional | 26 · Professional part | $45.71 | $77.62 | $114.82 |
Univera Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $58.88 Typical High $85.11 | Professional | TC · Technical part | $33.88 | $58.88 | $85.11 |
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 $47.86 Median $47.86 Typical High $74.13 | Professional | 52 · Reduced service | $47.86 | $47.86 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $29.51 | Professional | 53 · Discontinued | $19.50 | $19.50 | $29.51 |
Where New York sits
The same service costs 7.6 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· 38th of 51
$135
AK $457AL $60.26
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.