How much rates vary
Facilitymedian $138 · 10th to 90th $26 to $407Professionalmedian $112 · 10th to 90th $60 to $282
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 $91.20 Median $100.00 Typical High $275.42 | Facility | None | $91.20 | $100.00 | $275.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $229.09 | Professional | None (both parts) | $93.33 | $93.33 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $36.31 Typical High $77.62 | Professional | 26 · Professional part | $33.88 | $36.31 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $151.36 | Professional | TC · Technical part | $56.23 | $56.23 | $151.36 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $60.26 Median $169.82 Typical High $389.05 | Professional | None (both parts) | $60.26 | $169.82 | $389.05 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $54.95 Typical High $131.83 | Professional | 26 · Professional part | $22.39 | $54.95 | $131.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $112.20 Typical High $251.19 | Professional | TC · Technical part | $39.81 | $112.20 | $251.19 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $61.66 Median $109.65 Typical High $173.78 | Professional | None (both parts) | $61.66 | $109.65 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $208.93 Typical High $812.83 | Facility | None | $95.50 | $208.93 | $812.83 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $14.45 Median $67.61 Typical High $97.72 | Facility | 26 · Professional part | $14.45 | $67.61 | $97.72 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $23.99 Median $112.20 Typical High $162.18 | Facility | TC · Technical part | $23.99 | $112.20 | $162.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $158.49 Typical High $323.59 | Professional | None (both parts) | $85.11 | $158.49 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $52.48 Typical High $186.21 | Professional | 26 · Professional part | $25.70 | $52.48 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $100.00 Typical High $346.74 | Professional | TC · Technical part | $50.12 | $100.00 | $346.74 |
Emblem Health Setting Facility Modifier None Typical Low $81.28 Median $173.78 Typical High $309.03 | Facility | None | $81.28 | $173.78 | $309.03 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $74.13 Median $109.65 Typical High $169.82 | Professional | None (both parts) | $74.13 | $109.65 | $169.82 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $40.74 Typical High $147.91 | Professional | 26 · Professional part | $30.20 | $40.74 | $147.91 |
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 $63.10 Median $109.65 Typical High $158.49 | Professional | None (both parts) | $63.10 | $109.65 | $158.49 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $39.81 Typical High $58.88 | Professional | 26 · Professional part | $29.51 | $39.81 | $58.88 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $67.61 Typical High $100.00 | Professional | TC · Technical part | $43.65 | $67.61 | $100.00 |
Highmark BCBS Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $524.81 | Facility | None | $512.86 | $512.86 | $524.81 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $85.11 Typical High $93.33 | Professional | 26 · Professional part | $44.67 | $85.11 | $93.33 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $107.15 Typical High $257.04 | Facility | None | $13.80 | $107.15 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $112.20 Median $144.54 Typical High $309.03 | Professional | None (both parts) | $112.20 | $144.54 | $309.03 |
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 $58.88 Median $83.18 Typical High $208.93 | Professional | None (both parts) | $58.88 | $83.18 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $28.18 Typical High $72.44 | Professional | 26 · Professional part | $19.50 | $28.18 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $53.70 Typical High $131.83 | Professional | TC · Technical part | $38.90 | $53.70 | $131.83 |
Univera Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $257.04 | Facility | None | $25.70 | $25.70 | $257.04 |
Univera Setting Professional Modifier None (both parts) Typical Low $63.10 Median $109.65 Typical High $158.49 | Professional | None (both parts) | $63.10 | $109.65 | $158.49 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $33.88 Typical High $58.88 | Professional | 26 · Professional part | $23.44 | $33.88 | $58.88 |
Univera Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $67.61 Typical High $100.00 | Professional | TC · Technical part | $39.81 | $67.61 | $100.00 |
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 $46.77 Median $46.77 Typical High $50.12 | Professional | 52 · Reduced service | $46.77 | $46.77 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $19.95 | Professional | 53 · Discontinued | $18.62 | $18.62 | $19.95 |
Where New York sits
The same service costs 4.5 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· 38th of 51
$112
AK $316AL $70.79
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.