How much rates vary
Facilitymedian $120 · 10th to 90th $36 to $178Professionalmedian $62 · 10th to 90th $28 to $178
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 $36.31 Median $52.48 Typical High $158.49 | Facility | None | $36.31 | $52.48 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $46.77 Typical High $57.54 | Professional | None (both parts) | $46.77 | $46.77 | $57.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $12.88 Typical High $21.38 | Professional | 26 · Professional part | $12.88 | $12.88 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $33.88 Typical High $36.31 | Professional | TC · Technical part | $33.11 | $33.88 | $36.31 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $32.36 Median $85.11 Typical High $186.21 | Professional | None (both parts) | $32.36 | $85.11 | $186.21 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $30.90 Typical High $63.10 | Professional | 26 · Professional part | $11.48 | $30.90 | $63.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $58.88 Typical High $120.23 | Professional | TC · Technical part | $20.42 | $58.88 | $120.23 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $37.15 Median $64.57 Typical High $102.33 | Professional | None (both parts) | $37.15 | $64.57 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $120.23 Typical High $147.91 | Facility | None | $54.95 | $120.23 | $147.91 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $8.13 Median $38.02 Typical High $54.95 | Facility | 26 · Professional part | $8.13 | $38.02 | $54.95 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $14.13 Median $64.57 Typical High $93.33 | Facility | TC · Technical part | $14.13 | $64.57 | $93.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $72.44 Typical High $169.82 | Professional | None (both parts) | $40.74 | $72.44 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $27.54 Typical High $77.62 | Professional | 26 · Professional part | $12.30 | $27.54 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $51.29 Typical High $147.91 | Professional | TC · Technical part | $25.70 | $51.29 | $147.91 |
Emblem Health Setting Facility Modifier None Typical Low $28.18 Median $48.98 Typical High $125.89 | Facility | None | $28.18 | $48.98 | $125.89 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $47.86 Median $61.66 Typical High $97.72 | Professional | None (both parts) | $47.86 | $61.66 | $97.72 |
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 $52.48 Median $70.79 Typical High $512.86 | Professional | None (both parts) | $52.48 | $70.79 | $512.86 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $23.44 Typical High $43.65 | Professional | 26 · Professional part | $19.95 | $23.44 | $43.65 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $38.02 Typical High $70.79 | Professional | TC · Technical part | $32.36 | $38.02 | $70.79 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $77.62 Typical High $257.04 | Facility | None | $13.80 | $77.62 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $20.42 Median $20.42 Typical High $177.83 | Professional | None (both parts) | $20.42 | $20.42 | $177.83 |
United Setting Professional Modifier None (both parts) Typical Low $32.36 Median $44.67 Typical High $117.49 | Professional | None (both parts) | $32.36 | $44.67 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $16.60 Typical High $42.66 | Professional | 26 · Professional part | $11.48 | $16.60 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $28.84 Typical High $74.13 | Professional | TC · Technical part | $20.89 | $28.84 | $74.13 |
Univera Setting Facility Modifier None Typical Low $36.31 Median $177.83 Typical High $177.83 | Facility | None | $36.31 | $177.83 | $177.83 |
Univera Setting Professional Modifier None (both parts) Typical Low $52.48 Median $70.79 Typical High $512.86 | Professional | None (both parts) | $52.48 | $70.79 | $512.86 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $23.44 Typical High $72.44 | Professional | 26 · Professional part | $19.95 | $23.44 | $72.44 |
Univera Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $38.02 Typical High $107.15 | Professional | TC · Technical part | $32.36 | $38.02 | $107.15 |
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 $23.44 Median $23.44 Typical High $28.84 | Professional | 52 · Reduced service | $23.44 | $23.44 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.33 Typical High $11.48 | Professional | 53 · Discontinued | $9.33 | $9.33 | $11.48 |
Where New York sits
The same service costs 4.4 times more in Alaska than in Texas. 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
$61.66
AK $182TX $41.69
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.