How much rates vary
Facilitymedian $135 · 10th to 90th $26 to $447Professionalmedian $219 · 10th to 90th $110 to $479
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 $125.89 Median $190.55 Typical High $562.34 | Facility | None | $125.89 | $190.55 | $562.34 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $275.42 | Professional | None (both parts) | $125.89 | $125.89 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $154.88 | Professional | 26 · Professional part | $72.44 | $72.44 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $117.49 | Professional | TC · Technical part | $53.70 | $53.70 | $117.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $302.00 Typical High $616.60 | Professional | None (both parts) | $109.65 | $302.00 | $616.60 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $158.49 Typical High $316.23 | Professional | 26 · Professional part | $51.29 | $158.49 | $316.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $144.54 Typical High $288.40 | Professional | TC · Technical part | $58.88 | $144.54 | $288.40 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $154.88 Median $181.97 Typical High $338.84 | Professional | None (both parts) | $154.88 | $181.97 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $295.12 Typical High $933.25 | Facility | None | $147.91 | $295.12 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $239.88 Typical High $562.34 | Professional | None (both parts) | $138.04 | $239.88 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $154.88 Typical High $446.68 | Professional | 26 · Professional part | $72.44 | $154.88 | $446.68 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $131.83 Typical High $512.86 | Professional | TC · Technical part | $56.23 | $131.83 | $512.86 |
Emblem Health Setting Facility Modifier None Typical Low $12.59 Median $125.89 Typical High $302.00 | Facility | None | $12.59 | $125.89 | $302.00 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $144.54 Median $213.80 Typical High $331.13 | Professional | None (both parts) | $144.54 | $213.80 | $331.13 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $269.15 | Professional | 26 · Professional part | $83.18 | $83.18 | $269.15 |
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 $218.78 Typical High $331.13 | Professional | None (both parts) | $72.44 | $218.78 | $331.13 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $112.20 Typical High $165.96 | Professional | 26 · Professional part | $29.51 | $112.20 | $165.96 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $104.71 Typical High $162.18 | Professional | TC · Technical part | $43.65 | $104.71 | $162.18 |
Highmark BCBS Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $208.93 Typical High $257.04 | Facility | None | $13.80 | $208.93 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $165.96 Median $223.87 Typical High $562.34 | Professional | None (both parts) | $165.96 | $223.87 | $562.34 |
United Setting Facility Modifier None Typical Low $104.71 Median $123.03 Typical High $151.36 | Facility | None | $104.71 | $123.03 | $151.36 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $151.36 Typical High $389.05 | Professional | None (both parts) | $114.82 | $151.36 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $79.43 Typical High $208.93 | Professional | 26 · Professional part | $54.95 | $79.43 | $208.93 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $69.18 Typical High $169.82 | Professional | TC · Technical part | $57.54 | $69.18 | $169.82 |
Univera Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $446.68 | Facility | None | $25.70 | $25.70 | $446.68 |
Univera Setting Professional Modifier None (both parts) Typical Low $72.44 Median $218.78 Typical High $331.13 | Professional | None (both parts) | $72.44 | $218.78 | $331.13 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $112.20 Typical High $162.18 | Professional | 26 · Professional part | $29.51 | $112.20 | $162.18 |
Univera Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $104.71 Typical High $154.88 | Professional | TC · Technical part | $43.65 | $104.71 | $154.88 |
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 $63.10 Median $63.10 Typical High $102.33 | Professional | 52 · Reduced service | $63.10 | $63.10 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $40.74 | Professional | 53 · Discontinued | $25.12 | $25.12 | $40.74 |
Where New York sits
The same service costs 6.5 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· 34th of 51
$219
AK $617AL $95.50
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.