How much rates vary
Facilitymedian $178 · 10th to 90th $120 to $891Professionalmedian $195 · 10th to 90th $151 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 $186.21 Median $223.87 Typical High $281.84 | Facility | None | $186.21 | $223.87 | $281.84 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $63.10 Median $81.28 Typical High $104.71 | Facility | 26 · Professional part | $63.10 | $81.28 | $104.71 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $117.49 Median $141.25 Typical High $269.15 | Facility | TC · Technical part | $117.49 | $141.25 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $309.03 | Professional | None (both parts) | $213.80 | $213.80 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $97.72 | Professional | 26 · Professional part | $60.26 | $60.26 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $151.36 Typical High $194.98 | Professional | TC · Technical part | $141.25 | $151.36 | $194.98 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $66.07 | $66.07 | $66.07 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $158.49 Median $186.21 Typical High $281.84 | Professional | None (both parts) | $158.49 | $186.21 | $281.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $63.10 Typical High $91.20 | Professional | 26 · Professional part | $53.70 | $63.10 | $91.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $123.03 Typical High $181.97 | Professional | TC · Technical part | $104.71 | $123.03 | $181.97 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $100.00 Median $173.78 Typical High $269.15 | Professional | None (both parts) | $100.00 | $173.78 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $645.65 Typical High $851.14 | Facility | None | $295.12 | $645.65 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $562.34 | Professional | None (both parts) | $194.98 | $194.98 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $70.79 Typical High $190.55 | Professional | 26 · Professional part | $66.07 | $70.79 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $128.82 Typical High $363.08 | Professional | TC · Technical part | $128.82 | $128.82 | $363.08 |
Emblem Health Setting Facility Modifier None Typical Low $93.33 Median $144.54 Typical High $467.74 | Facility | None | $93.33 | $144.54 | $467.74 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $190.55 Typical High $223.87 | Professional | None (both parts) | $123.03 | $190.55 | $223.87 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $79.43 Typical High $125.89 | Professional | 26 · Professional part | $72.44 | $79.43 | $125.89 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $141.25 Typical High $208.93 | Professional | TC · Technical part | $141.25 | $141.25 | $208.93 |
Excellus BCBS Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | TC · Technical part | $72.44 | $72.44 | $72.44 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $177.83 Typical High $257.04 | Professional | None (both parts) | $151.36 | $177.83 | $257.04 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $66.07 Typical High $95.50 | Professional | 26 · Professional part | $56.23 | $66.07 | $95.50 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $109.65 Typical High $158.49 | Professional | TC · Technical part | $95.50 | $109.65 | $158.49 |
Fidelis Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $63.10 Typical High $81.28 | Professional | 26 · Professional part | $60.26 | $63.10 | $81.28 |
Highmark BCBS Setting Facility Modifier None Typical Low $302.00 Median $1,071.52 Typical High $2,344.23 | Facility | None | $302.00 | $1,071.52 | $2,344.23 |
MVP Health Care Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $467.74 | Professional | None (both parts) | $239.88 | $239.88 | $467.74 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $93.33 Typical High $138.04 | Professional | 26 · Professional part | $75.86 | $93.33 | $138.04 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $154.88 Typical High $234.42 | Professional | TC · Technical part | $120.23 | $154.88 | $234.42 |
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 $151.36 Median $218.78 Typical High $426.58 | Professional | None (both parts) | $151.36 | $218.78 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $81.28 Typical High $158.49 | Professional | 26 · Professional part | $52.48 | $81.28 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $141.25 Typical High $263.03 | Professional | TC · Technical part | $95.50 | $141.25 | $263.03 |
Univera Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $562.34 | Facility | None | $120.23 | $120.23 | $562.34 |
Univera Setting Facility Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $302.00 | Facility | TC · Technical part | $72.44 | $72.44 | $302.00 |
Univera Setting Professional Modifier None (both parts) Typical Low $151.36 Median $177.83 Typical High $251.19 | Professional | None (both parts) | $151.36 | $177.83 | $251.19 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $66.07 Typical High $95.50 | Professional | 26 · Professional part | $56.23 | $66.07 | $95.50 |
Univera Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $109.65 Typical High $154.88 | Professional | TC · Technical part | $95.50 | $109.65 | $154.88 |
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 $107.15 Median $107.15 Typical High $112.20 | Professional | 52 · Reduced service | $107.15 | $107.15 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $44.67 | Professional | 53 · Discontinued | $42.66 | $42.66 | $44.67 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $123.03 Typical High $190.55 | Professional | 53 · Discontinued | $97.72 | $123.03 | $190.55 |
Where New York sits
The same service costs 3.9 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
$195
AK $468UT $120
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.