How much rates vary
Facilitymedian $178 · 10th to 90th $95 to $437Professionalmedian $162 · 10th to 90th $71 to $447
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 $112.20 Median $147.91 Typical High $323.59 | Facility | None | $112.20 | $147.91 | $323.59 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $29.51 Median $36.31 Typical High $77.62 | Facility | 26 · Professional part | $29.51 | $36.31 | $77.62 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $85.11 Median $112.20 Typical High $245.47 | Facility | TC · Technical part | $85.11 | $112.20 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $316.23 | Professional | None (both parts) | $112.20 | $112.20 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.11 Typical High $77.62 | Professional | 26 · Professional part | $27.54 | $33.11 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $251.19 | Professional | TC · Technical part | $85.11 | $85.11 | $251.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $74.13 Median $218.78 Typical High $467.74 | Professional | None (both parts) | $74.13 | $218.78 | $467.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $53.70 Typical High $125.89 | Professional | 26 · Professional part | $22.39 | $53.70 | $125.89 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $169.82 Typical High $346.74 | Professional | TC · Technical part | $54.95 | $169.82 | $346.74 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $61.66 Median $194.98 Typical High $257.04 | Professional | None (both parts) | $61.66 | $194.98 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $371.54 Typical High $512.86 | Facility | None | $169.82 | $371.54 | $512.86 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $15.14 Median $70.79 Typical High $102.33 | Facility | 26 · Professional part | $15.14 | $70.79 | $102.33 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $29.51 Median $138.04 Typical High $199.53 | Facility | TC · Technical part | $29.51 | $138.04 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $109.65 Typical High $588.84 | Professional | None (both parts) | $70.79 | $109.65 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $58.88 Typical High $199.53 | Professional | 26 · Professional part | $25.70 | $58.88 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $158.49 Typical High $575.44 | Professional | TC · Technical part | $63.10 | $158.49 | $575.44 |
Emblem Health Setting Facility Modifier None Typical Low $10.96 Median $147.91 Typical High $346.74 | Facility | None | $10.96 | $147.91 | $346.74 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $128.82 Median $165.96 Typical High $251.19 | Professional | None (both parts) | $128.82 | $165.96 | $251.19 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $40.74 Typical High $125.89 | Professional | 26 · Professional part | $30.20 | $40.74 | $125.89 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $107.15 Typical High $229.09 | Professional | TC · Technical part | $97.72 | $107.15 | $229.09 |
Excellus BCBS Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $138.04 Median $186.21 Typical High $602.56 | Professional | None (both parts) | $138.04 | $186.21 | $602.56 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $39.81 Typical High $74.13 | Professional | 26 · Professional part | $33.88 | $39.81 | $74.13 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $123.03 Typical High $229.09 | Professional | TC · Technical part | $104.71 | $123.03 | $229.09 |
Highmark BCBS Setting Facility Modifier None Typical Low $199.53 Median $389.05 Typical High $812.83 | Facility | None | $199.53 | $389.05 | $812.83 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None (both parts) | $331.13 | $331.13 | $331.13 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $245.47 Typical High $389.05 | Facility | None | $13.80 | $245.47 | $389.05 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $446.68 | Professional | None (both parts) | $58.88 | $58.88 | $446.68 |
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 $87.10 Median $117.49 Typical High $309.03 | Professional | None (both parts) | $87.10 | $117.49 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $28.84 Typical High $77.62 | Professional | 26 · Professional part | $19.95 | $28.84 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $89.13 Typical High $234.42 | Professional | TC · Technical part | $67.61 | $89.13 | $234.42 |
Univera Setting Facility Modifier None Typical Low $95.50 Median $177.83 Typical High $213.80 | Facility | None | $95.50 | $177.83 | $213.80 |
Univera Setting Professional Modifier None (both parts) Typical Low $138.04 Median $177.83 Typical High $602.56 | Professional | None (both parts) | $138.04 | $177.83 | $602.56 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $45.71 Typical High $72.44 | Professional | 26 · Professional part | $33.88 | $45.71 | $72.44 |
Univera Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $123.03 Typical High $190.55 | Professional | TC · Technical part | $104.71 | $123.03 | $190.55 |
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 $56.23 Median $56.23 Typical High $81.28 | Professional | 52 · Reduced service | $56.23 | $56.23 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $32.36 | Professional | 53 · Discontinued | $22.39 | $22.39 | $32.36 |
Where New York sits
The same service costs 4.9 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· 30th of 51
$162
AK $468AL $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.