How much rates vary
Facilitymedian $158 · 10th to 90th $107 to $933Professionalmedian $562 · 10th to 90th $269 to $813
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 $323.59 Median $602.56 Typical High $660.69 | Facility | None | $323.59 | $602.56 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $602.56 Median $660.69 Typical High $660.69 | Professional | None (both parts) | $602.56 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $120.23 Typical High $154.88 | Professional | 26 · Professional part | $120.23 | $120.23 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $616.60 Typical High $616.60 | Professional | TC · Technical part | $562.34 | $616.60 | $616.60 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $512.86 Median $602.56 Typical High $676.08 | Professional | None (both parts) | $512.86 | $602.56 | $676.08 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $128.82 Typical High $177.83 | Professional | 26 · Professional part | $109.65 | $128.82 | $177.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $467.74 Typical High $630.96 | Professional | TC · Technical part | $398.11 | $467.74 | $630.96 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $181.97 Median $660.69 Typical High $851.14 | Professional | None (both parts) | $181.97 | $660.69 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $691.83 Typical High $851.14 | Facility | None | $398.11 | $691.83 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $275.42 Typical High $724.44 | Professional | None (both parts) | $257.04 | $275.42 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $131.83 Typical High $354.81 | Professional | 26 · Professional part | $120.23 | $131.83 | $354.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $141.25 Typical High $380.19 | Professional | TC · Technical part | $134.90 | $141.25 | $380.19 |
Emblem Health Setting Facility Modifier None Typical Low $138.04 Median $213.80 Typical High $630.96 | Facility | None | $138.04 | $213.80 | $630.96 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $602.56 | Professional | None (both parts) | $338.84 | $338.84 | $602.56 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $144.54 Typical High $223.87 | Professional | 26 · Professional part | $138.04 | $144.54 | $223.87 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $363.08 | Professional | TC · Technical part | $190.55 | $190.55 | $363.08 |
Excellus BCBS Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | TC · Technical part | $63.10 | $63.10 | $63.10 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $239.88 Median $269.15 Typical High $446.68 | Professional | None (both parts) | $239.88 | $269.15 | $446.68 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $120.23 Typical High $186.21 | Professional | 26 · Professional part | $102.33 | $120.23 | $186.21 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $154.88 Typical High $263.03 | Professional | TC · Technical part | $138.04 | $154.88 | $263.03 |
MVP Health Care Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $1,479.11 | Professional | None (both parts) | $380.19 | $380.19 | $1,479.11 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $169.82 Typical High $251.19 | Professional | 26 · Professional part | $134.90 | $169.82 | $251.19 |
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 $223.87 Median $645.65 Typical High $1,202.26 | Professional | None (both parts) | $223.87 | $645.65 | $1,202.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $144.54 Typical High $288.40 | Professional | 26 · Professional part | $97.72 | $144.54 | $288.40 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $512.86 Typical High $954.99 | Professional | TC · Technical part | $109.65 | $512.86 | $954.99 |
Univera Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $1,174.90 | Facility | None | $107.15 | $107.15 | $1,174.90 |
Univera Setting Facility Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $676.08 | Facility | TC · Technical part | $63.10 | $63.10 | $676.08 |
Univera Setting Professional Modifier None (both parts) Typical Low $239.88 Median $269.15 Typical High $446.68 | Professional | None (both parts) | $239.88 | $269.15 | $446.68 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $120.23 Typical High $186.21 | Professional | 26 · Professional part | $102.33 | $120.23 | $186.21 |
Univera Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $154.88 Typical High $263.03 | Professional | TC · Technical part | $128.82 | $154.88 | $263.03 |
2 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 $302.00 Median $331.13 Typical High $331.13 | Professional | 52 · Reduced service | $302.00 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $131.83 Typical High $131.83 | Professional | 53 · Discontinued | $120.23 | $131.83 | $131.83 |
Where New York sits
The same service costs 3.1 times more in Alaska than in Washington. 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· 17th of 51
$562
AK $1,000WA $324
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.