How much rates vary
Facilitymedian $129 · 10th to 90th $60 to $676Professionalmedian $158 · 10th to 90th $132 to $257
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 $138.04 Median $186.21 Typical High $707.95 | Facility | None | $138.04 | $186.21 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $190.55 | Professional | None (both parts) | $138.04 | $138.04 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $46.77 | Professional | 26 · Professional part | $30.90 | $30.90 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $151.36 | Professional | TC · Technical part | $107.15 | $107.15 | $151.36 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $117.49 | $117.49 | $117.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $134.90 Median $158.49 Typical High $218.78 | Professional | None (both parts) | $134.90 | $158.49 | $218.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $36.31 Typical High $50.12 | Professional | 26 · Professional part | $30.90 | $36.31 | $50.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $123.03 Typical High $169.82 | Professional | TC · Technical part | $104.71 | $123.03 | $169.82 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $52.48 Median $177.83 Typical High $229.09 | Professional | None (both parts) | $52.48 | $177.83 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $645.65 Typical High $851.14 | Facility | None | $245.47 | $645.65 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $446.68 | Professional | None (both parts) | $165.96 | $165.96 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $36.31 Typical High $97.72 | Professional | 26 · Professional part | $35.48 | $36.31 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $131.83 Typical High $354.81 | Professional | TC · Technical part | $128.82 | $131.83 | $354.81 |
Emblem Health Setting Facility Modifier None Typical Low $95.50 Median $147.91 Typical High $467.74 | Facility | None | $95.50 | $147.91 | $467.74 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $165.96 Median $181.97 Typical High $275.42 | Professional | None (both parts) | $165.96 | $181.97 | $275.42 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $40.74 Typical High $64.57 | Professional | 26 · Professional part | $35.48 | $40.74 | $64.57 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $144.54 Typical High $213.80 | Professional | TC · Technical part | $141.25 | $144.54 | $213.80 |
Excellus BCBS Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | TC · Technical part | $36.31 | $36.31 | $36.31 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $125.89 Median $141.25 Typical High $208.93 | Professional | None (both parts) | $125.89 | $141.25 | $208.93 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $32.36 Typical High $48.98 | Professional | 26 · Professional part | $28.84 | $32.36 | $48.98 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $109.65 Typical High $162.18 | Professional | TC · Technical part | $95.50 | $109.65 | $162.18 |
Highmark BCBS Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $588.84 | Facility | None | $338.84 | $338.84 | $588.84 |
MVP Health Care Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $389.05 | Professional | None (both parts) | $165.96 | $165.96 | $389.05 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $47.86 Typical High $72.44 | Professional | 26 · Professional part | $38.90 | $47.86 | $72.44 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $162.18 Typical High $239.88 | Professional | TC · Technical part | $125.89 | $162.18 | $239.88 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,288.25 Typical High $1,584.89 | Facility | None | $1,096.48 | $1,288.25 | $1,584.89 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $186.21 Typical High $346.74 | Professional | None (both parts) | $125.89 | $186.21 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $41.69 Typical High $81.28 | Professional | 26 · Professional part | $27.54 | $41.69 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $147.91 Typical High $269.15 | Professional | TC · Technical part | $97.72 | $147.91 | $269.15 |
Univera Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $436.52 | Facility | None | $60.26 | $60.26 | $436.52 |
Univera Setting Facility Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $281.84 | Facility | TC · Technical part | $36.31 | $36.31 | $281.84 |
Univera Setting Professional Modifier None (both parts) Typical Low $125.89 Median $144.54 Typical High $208.93 | Professional | None (both parts) | $125.89 | $144.54 | $208.93 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $32.36 Typical High $48.98 | Professional | 26 · Professional part | $28.84 | $32.36 | $48.98 |
Univera Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $112.20 Typical High $158.49 | Professional | TC · Technical part | $95.50 | $112.20 | $158.49 |
3 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 $69.18 Median $69.18 Typical High $93.33 | Professional | 52 · Reduced service | $69.18 | $69.18 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $37.15 | Professional | 53 · Discontinued | $27.54 | $27.54 | $37.15 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $104.71 Typical High $154.88 | Professional | 53 · Discontinued | $81.28 | $104.71 | $154.88 |
Where New York sits
The same service costs 3.0 times more in Alaska than in Utah. 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· 43rd of 51
$158
AK $380UT $129
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.