How much rates vary
Facilitymedian $178 · 10th to 90th $59 to $257Professionalmedian $98 · 10th to 90th $40 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 $67.61 Median $95.50 Typical High $501.19 | Facility | None | $67.61 | $95.50 | $501.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $141.25 | Professional | None (both parts) | $67.61 | $67.61 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.05 Typical High $30.90 | Professional | 26 · Professional part | $19.05 | $19.05 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $100.00 | Professional | TC · Technical part | $48.98 | $48.98 | $100.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $44.67 Median $138.04 Typical High $288.40 | Professional | None (both parts) | $44.67 | $138.04 | $288.40 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $37.15 Typical High $79.43 | Professional | 26 · Professional part | $13.49 | $37.15 | $79.43 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $100.00 Typical High $204.17 | Professional | TC · Technical part | $30.90 | $100.00 | $204.17 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $45.71 Median $117.49 Typical High $162.18 | Professional | None (both parts) | $45.71 | $117.49 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $223.87 Typical High $263.03 | Facility | None | $104.71 | $223.87 | $263.03 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $8.13 Median $38.02 Typical High $53.70 | Facility | 26 · Professional part | $8.13 | $38.02 | $53.70 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $22.39 Median $104.71 Typical High $151.36 | Facility | TC · Technical part | $22.39 | $104.71 | $151.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $87.10 Typical High $263.03 | Professional | None (both parts) | $69.18 | $87.10 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $33.88 Typical High $95.50 | Professional | 26 · Professional part | $14.45 | $33.88 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $87.10 Typical High $275.42 | Professional | TC · Technical part | $31.62 | $87.10 | $275.42 |
Emblem Health Setting Facility Modifier None Typical Low $34.67 Median $107.15 Typical High $257.04 | Facility | None | $34.67 | $107.15 | $257.04 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $97.72 Median $125.89 Typical High $194.98 | Professional | None (both parts) | $97.72 | $125.89 | $194.98 |
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 $102.33 Median $138.04 Typical High $512.86 | Professional | None (both parts) | $102.33 | $138.04 | $512.86 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $31.62 Typical High $58.88 | Professional | 26 · Professional part | $26.92 | $31.62 | $58.88 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $91.20 Typical High $134.90 | Professional | TC · Technical part | $75.86 | $91.20 | $134.90 |
Highmark BCBS Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 26 · Professional part | $31.62 | $31.62 | $31.62 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $173.78 Typical High $389.05 | Facility | None | $13.80 | $173.78 | $389.05 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $24.55 Median $24.55 Typical High $281.84 | Professional | None (both parts) | $24.55 | $24.55 | $281.84 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $70.79 Typical High $181.97 | Professional | None (both parts) | $60.26 | $70.79 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $20.42 Typical High $52.48 | Professional | 26 · Professional part | $15.85 | $20.42 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $52.48 Typical High $131.83 | Professional | TC · Technical part | $43.65 | $52.48 | $131.83 |
Univera Setting Facility Modifier None Typical Low $70.79 Median $177.83 Typical High $177.83 | Facility | None | $70.79 | $177.83 | $177.83 |
Univera Setting Professional Modifier None (both parts) Typical Low $102.33 Median $138.04 Typical High $512.86 | Professional | None (both parts) | $102.33 | $138.04 | $512.86 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $31.62 Typical High $72.44 | Professional | 26 · Professional part | $26.92 | $31.62 | $72.44 |
Univera Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $91.20 Typical High $131.83 | Professional | TC · Technical part | $75.86 | $91.20 | $131.83 |
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 $33.88 Median $33.88 Typical High $47.86 | Professional | 52 · Reduced service | $33.88 | $33.88 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.49 Typical High $19.05 | Professional | 53 · Discontinued | $13.49 | $13.49 | $19.05 |
Where New York sits
The same service costs 4.6 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· 36th of 51
$105
AK $269AL $58.88
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.