How much rates vary
Facilitymedian $93 · 10th to 90th $50 to $501Professionalmedian $107 · 10th to 90th $85 to $219
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 $95.50 Median $154.88 Typical High $537.03 | Facility | None | $95.50 | $154.88 | $537.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $204.17 | Professional | None (both parts) | $95.50 | $95.50 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $57.54 | Professional | 26 · Professional part | $39.81 | $39.81 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $147.91 | Professional | TC · Technical part | $56.23 | $56.23 | $147.91 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $234.42 | Professional | None (both parts) | $141.25 | $141.25 | $234.42 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $91.20 Median $107.15 Typical High $151.36 | Professional | None (both parts) | $91.20 | $107.15 | $151.36 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $33.11 Typical High $54.95 | Professional | 26 · Professional part | $28.18 | $33.11 | $54.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $74.13 Typical High $97.72 | Professional | TC · Technical part | $63.10 | $74.13 | $97.72 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $60.26 Median $104.71 Typical High $165.96 | Professional | None (both parts) | $60.26 | $104.71 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $81.28 Typical High $331.13 | Professional | None (both parts) | $72.44 | $81.28 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $30.20 Typical High $100.00 | Professional | 26 · Professional part | $24.55 | $30.20 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $54.95 Typical High $218.78 | Professional | TC · Technical part | $46.77 | $54.95 | $218.78 |
Emblem Health Setting Facility Modifier None Typical Low $57.54 Median $138.04 Typical High $478.63 | Facility | None | $57.54 | $138.04 | $478.63 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $51.29 Median $107.15 Typical High $162.18 | Professional | None (both parts) | $51.29 | $107.15 | $162.18 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $48.98 Typical High $114.82 | Professional | 26 · Professional part | $42.66 | $48.98 | $114.82 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $213.80 | Professional | TC · Technical part | $144.54 | $144.54 | $213.80 |
Excellus BCBS Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | TC · Technical part | $30.20 | $30.20 | $30.20 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $97.72 Median $134.90 Typical High $194.98 | Professional | None (both parts) | $97.72 | $134.90 | $194.98 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $36.31 Typical High $52.48 | Professional | 26 · Professional part | $31.62 | $36.31 | $52.48 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $97.72 Typical High $141.25 | Professional | TC · Technical part | $66.07 | $97.72 | $141.25 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $1,318.26 Typical High $1,778.28 | Facility | None | $1,174.90 | $1,318.26 | $1,778.28 |
MVP Health Care Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $162.18 Median $218.78 Typical High $251.19 | Professional | None (both parts) | $162.18 | $218.78 | $251.19 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $54.95 Typical High $74.13 | Professional | 26 · Professional part | $45.71 | $54.95 | $74.13 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $79.43 Typical High $190.55 | Professional | TC · Technical part | $63.10 | $79.43 | $190.55 |
United Setting Facility Modifier None Typical Low $436.52 Median $501.19 Typical High $616.60 | Facility | None | $436.52 | $501.19 | $616.60 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $102.33 Typical High $208.93 | Professional | None (both parts) | $72.44 | $102.33 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $36.31 Typical High $74.13 | Professional | 26 · Professional part | $25.12 | $36.31 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $69.18 Typical High $144.54 | Professional | TC · Technical part | $43.65 | $69.18 | $144.54 |
Univera Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $346.74 | Facility | None | $50.12 | $50.12 | $346.74 |
Univera Setting Facility Modifier TC · Technical part Typical Low $30.20 Median $30.20 Typical High $213.80 | Facility | TC · Technical part | $30.20 | $30.20 | $213.80 |
Univera Setting Professional Modifier None (both parts) Typical Low $97.72 Median $134.90 Typical High $194.98 | Professional | None (both parts) | $97.72 | $134.90 | $194.98 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $36.31 Typical High $52.48 | Professional | 26 · Professional part | $31.62 | $36.31 | $52.48 |
Univera Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $97.72 Typical High $141.25 | Professional | TC · Technical part | $66.07 | $97.72 | $141.25 |
4 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 $47.86 Median $47.86 Typical High $66.07 | Professional | 52 · Reduced service | $47.86 | $47.86 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $26.30 | Professional | 53 · Discontinued | $19.05 | $19.05 | $26.30 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $114.82 Median $134.90 Typical High $134.90 | Professional | GL · Free upgrade | $114.82 | $134.90 | $134.90 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $67.61 Typical High $162.18 | Professional | 53 · Discontinued | $54.95 | $67.61 | $162.18 |
Where New York sits
The same service costs 3.2 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
$107
AK $347NY $107
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.