How much rates vary
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 $645.65 Median $891.25 Typical High $2,041.74 | Facility | None | $645.65 | $891.25 | $2,041.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $645.65 Median $645.65 Typical High $933.25 | Professional | None (both parts) | $645.65 | $645.65 | $933.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $58.88 | Professional | 26 · Professional part | $44.67 | $44.67 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $602.56 Typical High $851.14 | Professional | TC · Technical part | $602.56 | $602.56 | $851.14 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $588.84 Median $691.83 Typical High $1,122.02 | Professional | None (both parts) | $588.84 | $691.83 | $1,122.02 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $48.98 Typical High $64.57 | Professional | 26 · Professional part | $41.69 | $48.98 | $64.57 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $645.65 Typical High $1,071.52 | Professional | TC · Technical part | $549.54 | $645.65 | $1,071.52 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $72.44 Median $1,096.48 Typical High $1,174.90 | Professional | None (both parts) | $72.44 | $1,096.48 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,479.11 Typical High $1,995.26 | Facility | None | $758.58 | $1,479.11 | $1,995.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $616.60 Median $724.44 Typical High $2,187.76 | Professional | None (both parts) | $616.60 | $724.44 | $2,187.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.90 Typical High $123.03 | Professional | 26 · Professional part | $32.36 | $38.90 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $691.83 Typical High $2,041.74 | Professional | TC · Technical part | $588.84 | $691.83 | $2,041.74 |
Emblem Health Setting Facility Modifier None Typical Low $524.81 Median $1,000.00 Typical High $3,548.13 | Facility | None | $524.81 | $1,000.00 | $3,548.13 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,148.15 Typical High $1,659.59 | Professional | None (both parts) | $1,023.29 | $1,148.15 | $1,659.59 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $56.23 Typical High $676.08 | Professional | 26 · Professional part | $50.12 | $56.23 | $676.08 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $1,096.48 Median $1,096.48 Typical High $1,621.81 | Professional | TC · Technical part | $1,096.48 | $1,096.48 | $1,621.81 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $630.96 Median $831.76 Typical High $1,071.52 | Professional | None (both parts) | $630.96 | $831.76 | $1,071.52 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $42.66 Typical High $58.88 | Professional | 26 · Professional part | $34.67 | $42.66 | $58.88 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $794.33 Typical High $1,000.00 | Professional | TC · Technical part | $602.56 | $794.33 | $1,000.00 |
MVP Health Care Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $660.69 Median $660.69 Typical High $2,041.74 | Professional | None (both parts) | $660.69 | $660.69 | $2,041.74 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $67.61 Typical High $91.20 | Professional | 26 · Professional part | $54.95 | $67.61 | $91.20 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,047.13 Typical High $1,412.54 | Professional | TC · Technical part | $831.76 | $1,047.13 | $1,412.54 |
United Setting Facility Modifier None Typical Low $1,862.09 Median $3,801.89 Typical High $8,709.64 | Facility | None | $1,862.09 | $3,801.89 | $8,709.64 |
United Setting Professional Modifier None (both parts) Typical Low $691.83 Median $870.96 Typical High $1,659.59 | Professional | None (both parts) | $691.83 | $870.96 | $1,659.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $50.12 Typical High $109.65 | Professional | 26 · Professional part | $38.02 | $50.12 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $831.76 Typical High $1,548.82 | Professional | TC · Technical part | $645.65 | $831.76 | $1,548.82 |
Univera Setting Facility Modifier None Typical Low $741.31 Median $1,071.52 Typical High $2,511.89 | Facility | None | $741.31 | $1,071.52 | $2,511.89 |
Univera Setting Professional Modifier None (both parts) Typical Low $630.96 Median $831.76 Typical High $1,071.52 | Professional | None (both parts) | $630.96 | $831.76 | $1,071.52 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $42.66 Typical High $58.88 | Professional | 26 · Professional part | $34.67 | $42.66 | $58.88 |
Univera Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $794.33 Typical High $1,000.00 | Professional | TC · Technical part | $602.56 | $794.33 | $1,000.00 |
1 more rate 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 |
|---|---|---|---|---|---|
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $676.08 Median $812.83 Typical High $812.83 | Professional | GL · Free upgrade | $676.08 | $812.83 | $812.83 |
Where New York sits
The same service costs 3.1 times more in Alaska than in New York. 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· 51st of 51
$724
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.