How much rates vary
Facilitymedian $148 · 10th to 90th $85 to $575Professionalmedian $174 · 10th to 90th $81 to $302
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 $190.55 Median $199.53 Typical High $204.17 | Facility | None | $190.55 | $199.53 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $204.17 | Professional | None (both parts) | $190.55 | $190.55 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $104.71 | Professional | 26 · Professional part | $91.20 | $91.20 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $97.72 Typical High $102.33 | Professional | TC · Technical part | $97.72 | $97.72 | $102.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $79.43 Median $147.91 Typical High $199.53 | Professional | None (both parts) | $79.43 | $147.91 | $199.53 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $154.88 Typical High $275.42 | Professional | 26 · Professional part | $100.00 | $154.88 | $275.42 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $151.36 Typical High $302.00 | Professional | TC · Technical part | $95.50 | $151.36 | $302.00 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $123.03 Median $128.82 Typical High $251.19 | Professional | None (both parts) | $123.03 | $128.82 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $575.44 | Facility | None | $281.84 | $281.84 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $199.53 Typical High $524.81 | Professional | None (both parts) | $181.97 | $199.53 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $93.33 Typical High $251.19 | Professional | 26 · Professional part | $87.10 | $93.33 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $102.33 Typical High $269.15 | Professional | TC · Technical part | $95.50 | $102.33 | $269.15 |
Emblem Health Setting Facility Modifier None Typical Low $138.04 Median $208.93 Typical High $630.96 | Facility | None | $138.04 | $208.93 | $630.96 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $457.09 | Professional | None (both parts) | $295.12 | $295.12 | $457.09 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $100.00 Typical High $154.88 | Professional | 26 · Professional part | $95.50 | $100.00 | $154.88 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $309.03 | Professional | TC · Technical part | $190.55 | $190.55 | $309.03 |
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 $208.93 Median $229.09 Typical High $389.05 | Professional | None (both parts) | $208.93 | $229.09 | $389.05 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $77.62 Typical High $131.83 | Professional | 26 · Professional part | $70.79 | $77.62 | $131.83 |
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 $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 $218.78 Median $302.00 Typical High $302.00 | Professional | None (both parts) | $218.78 | $302.00 | $302.00 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $120.23 Typical High $173.78 | Professional | 26 · Professional part | $95.50 | $120.23 | $173.78 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $302.00 Typical High $575.44 | Professional | None (both parts) | $218.78 | $302.00 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $104.71 Typical High $204.17 | Professional | 26 · Professional part | $67.61 | $104.71 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $199.53 Typical High $363.08 | Professional | TC · Technical part | $144.54 | $199.53 | $363.08 |
Univera Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $741.31 | Facility | None | $85.11 | $85.11 | $741.31 |
Univera Setting Facility Modifier TC · Technical part Typical Low $51.29 Median $51.29 Typical High $457.09 | Facility | TC · Technical part | $51.29 | $51.29 | $457.09 |
Univera Setting Professional Modifier None (both parts) Typical Low $199.53 Median $229.09 Typical High $389.05 | Professional | None (both parts) | $199.53 | $229.09 | $389.05 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $77.62 Typical High $131.83 | Professional | 26 · Professional part | $67.61 | $77.62 | $131.83 |
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 $95.50 Median $95.50 Typical High $102.33 | Professional | 52 · Reduced service | $95.50 | $95.50 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.02 Typical High $40.74 | Professional | 53 · Discontinued | $38.02 | $38.02 | $40.74 |
Where New York sits
The same service costs 3.1 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
$174
AK $537NY $174
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.