How much rates vary
Facilitymedian $162 · 10th to 90th $81 to $309Professionalmedian $107 · 10th to 90th $87 to $209
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 $30.90 Median $120.23 Typical High $331.13 | Facility | None | $30.90 | $120.23 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $120.23 Typical High $165.96 | Professional | None (both parts) | $83.18 | $120.23 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $39.81 Typical High $47.86 | Professional | 26 · Professional part | $20.89 | $39.81 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $81.28 Typical High $117.49 | Professional | TC · Technical part | $58.88 | $81.28 | $117.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $89.13 Median $104.71 Typical High $190.55 | Professional | None (both parts) | $89.13 | $104.71 | $190.55 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $35.48 Typical High $53.70 | Professional | 26 · Professional part | $29.51 | $35.48 | $53.70 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $69.18 Typical High $134.90 | Professional | TC · Technical part | $58.88 | $69.18 | $134.90 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $64.57 Median $151.36 Typical High $218.78 | Professional | None (both parts) | $64.57 | $151.36 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $114.82 Typical High $363.08 | Professional | None (both parts) | $91.20 | $114.82 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $30.20 Typical High $95.50 | Professional | 26 · Professional part | $26.92 | $30.20 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $89.13 Typical High $275.42 | Professional | TC · Technical part | $61.66 | $89.13 | $275.42 |
Emblem Health Setting Facility Modifier None Typical Low $72.44 Median $131.83 Typical High $446.68 | Facility | None | $72.44 | $131.83 | $446.68 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $79.43 Median $93.33 Typical High $109.65 | Professional | None (both parts) | $79.43 | $93.33 | $109.65 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $104.71 | Professional | 26 · Professional part | $26.30 | $26.30 | $104.71 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $199.53 | Professional | TC · Technical part | $134.90 | $134.90 | $199.53 |
Excellus BCBS Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $97.72 Median $128.82 Typical High $162.18 | Professional | None (both parts) | $97.72 | $128.82 | $162.18 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $21.88 Typical High $29.51 | Professional | 26 · Professional part | $17.78 | $21.88 | $29.51 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $91.20 Typical High $134.90 | Professional | TC · Technical part | $79.43 | $91.20 | $134.90 |
MVP Health Care Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $380.19 | Professional | None (both parts) | $100.00 | $100.00 | $380.19 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $57.54 Typical High $67.61 | Professional | 26 · Professional part | $47.86 | $57.54 | $67.61 |
United Setting Facility Modifier None Typical Low $269.15 Median $309.03 Typical High $380.19 | Facility | None | $269.15 | $309.03 | $380.19 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $123.03 Typical High $251.19 | Professional | None (both parts) | $85.11 | $123.03 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $34.67 Typical High $77.62 | Professional | 26 · Professional part | $15.14 | $34.67 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $93.33 Typical High $190.55 | Professional | TC · Technical part | $72.44 | $93.33 | $190.55 |
Univera Setting Facility Modifier None Typical Low $123.03 Median $162.18 Typical High $194.98 | Facility | None | $123.03 | $162.18 | $194.98 |
Univera Setting Professional Modifier None (both parts) Typical Low $97.72 Median $128.82 Typical High $162.18 | Professional | None (both parts) | $97.72 | $128.82 | $162.18 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $21.88 Typical High $46.77 | Professional | 26 · Professional part | $17.78 | $21.88 | $46.77 |
Univera Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $97.72 Typical High $134.90 | Professional | TC · Technical part | $79.43 | $97.72 | $134.90 |
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 $58.88 Median $60.26 Typical High $83.18 | Professional | 52 · Reduced service | $58.88 | $60.26 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.99 Typical High $33.11 | Professional | 53 · Discontinued | $23.44 | $23.99 | $33.11 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $104.71 Median $120.23 Typical High $123.03 | Professional | GL · Free upgrade | $104.71 | $120.23 | $123.03 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $102.33 Typical High $144.54 | Professional | 53 · Discontinued | $81.28 | $102.33 | $144.54 |
Where New York sits
The same service costs 5.2 times more in Alaska than in Indiana. 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· 47th of 51
$110
AK $363IN $69.18
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.