How much rates vary
Facilitymedian $126 · 10th to 90th $85 to $776Professionalmedian $240 · 10th to 90th $191 to $380
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 $263.03 Median $269.15 Typical High $524.81 | Facility | None | $263.03 | $269.15 | $524.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $323.59 | Professional | None (both parts) | $263.03 | $263.03 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $89.13 Typical High $104.71 | Professional | 26 · Professional part | $74.13 | $89.13 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $177.83 Typical High $245.47 | Professional | TC · Technical part | $165.96 | $177.83 | $245.47 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None (both parts) | $229.09 | $229.09 | $229.09 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $234.42 Typical High $346.74 | Professional | None (both parts) | $199.53 | $234.42 | $346.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $91.20 Typical High $112.20 | Professional | 26 · Professional part | $77.62 | $91.20 | $112.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $144.54 Typical High $218.78 | Professional | TC · Technical part | $123.03 | $144.54 | $218.78 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $128.82 Median $208.93 Typical High $338.84 | Professional | None (both parts) | $128.82 | $208.93 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $10,715.19 Typical High $10,715.19 | Facility | None | $371.54 | $10,715.19 | $10,715.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $257.04 Typical High $707.95 | Professional | None (both parts) | $239.88 | $257.04 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $91.20 Typical High $251.19 | Professional | 26 · Professional part | $77.62 | $91.20 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $158.49 Typical High $467.74 | Professional | TC · Technical part | $151.36 | $158.49 | $467.74 |
Emblem Health Setting Facility Modifier None Typical Low $114.82 Median $177.83 Typical High $562.34 | Facility | None | $114.82 | $177.83 | $562.34 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $269.15 Median $275.42 Typical High $407.38 | Professional | None (both parts) | $269.15 | $275.42 | $407.38 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $104.71 Typical High $257.04 | Professional | 26 · Professional part | $104.71 | $104.71 | $257.04 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $173.78 Typical High $257.04 | Professional | TC · Technical part | $173.78 | $173.78 | $257.04 |
Excellus BCBS Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | TC · Technical part | $51.29 | $51.29 | $51.29 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $186.21 Median $223.87 Typical High $331.13 | Professional | None (both parts) | $186.21 | $223.87 | $331.13 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $79.43 Typical High $131.83 | Professional | 26 · Professional part | $72.44 | $79.43 | $131.83 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $134.90 Typical High $199.53 | Professional | TC · Technical part | $112.20 | $134.90 | $199.53 |
MVP Health Care Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $575.44 | Professional | None (both parts) | $109.65 | $109.65 | $575.44 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $120.23 Typical High $177.83 | Professional | 26 · Professional part | $93.33 | $120.23 | $177.83 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $190.55 Typical High $281.84 | Professional | TC · Technical part | $147.91 | $190.55 | $281.84 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $275.42 Typical High $524.81 | Professional | None (both parts) | $190.55 | $275.42 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $104.71 Typical High $173.78 | Professional | 26 · Professional part | $69.18 | $104.71 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $173.78 Typical High $331.13 | Professional | TC · Technical part | $120.23 | $173.78 | $331.13 |
Univera Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $812.83 | Facility | None | $85.11 | $85.11 | $812.83 |
Univera Setting Facility Modifier TC · Technical part Typical Low $51.29 Median $51.29 Typical High $562.34 | Facility | TC · Technical part | $51.29 | $51.29 | $562.34 |
Univera Setting Professional Modifier None (both parts) Typical Low $186.21 Median $223.87 Typical High $331.13 | Professional | None (both parts) | $186.21 | $223.87 | $331.13 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $79.43 Typical High $131.83 | Professional | 26 · Professional part | $69.18 | $79.43 | $131.83 |
Univera Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $138.04 Typical High $199.53 | Professional | TC · Technical part | $112.20 | $138.04 | $199.53 |
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 $131.83 Median $131.83 Typical High $134.90 | Professional | 52 · Reduced service | $131.83 | $131.83 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $53.70 | $53.70 | $53.70 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $223.87 Median $263.03 Typical High $263.03 | Professional | GL · Free upgrade | $223.87 | $263.03 | $263.03 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $154.88 Typical High $229.09 | Professional | 53 · Discontinued | $120.23 | $154.88 | $229.09 |
Where New York sits
The same service costs 4.7 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· 44th of 51
$240
AK $589UT $126
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.