How much rates vary
Facilitymedian $708 · 10th to 90th $132 to $5,754Professionalmedian $162 · 10th to 90th $132 to $324
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 $128.82 Median $151.36 Typical High $181.97 | Facility | None | $128.82 | $151.36 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $151.36 Typical High $181.97 | Professional | None (both parts) | $128.82 | $151.36 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $70.79 Typical High $123.03 | Professional | 26 · Professional part | $61.66 | $70.79 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $81.28 Typical High $100.00 | Professional | TC · Technical part | $67.61 | $81.28 | $100.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $165.96 Typical High $204.17 | Professional | None (both parts) | $131.83 | $165.96 | $204.17 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $77.62 Typical High $112.20 | Professional | 26 · Professional part | $64.57 | $77.62 | $112.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $85.11 Typical High $107.15 | Professional | TC · Technical part | $72.44 | $85.11 | $107.15 |
CDPHP Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $4,073.80 | Facility | None | $1,348.96 | $1,348.96 | $4,073.80 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $74.13 Median $83.18 Typical High $158.49 | Professional | None (both parts) | $74.13 | $83.18 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $15,488.17 Typical High $26,915.35 | Facility | None | $251.19 | $15,488.17 | $26,915.35 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $151.36 Typical High $426.58 | Professional | None (both parts) | $120.23 | $151.36 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $69.18 Typical High $199.53 | Professional | 26 · Professional part | $54.95 | $69.18 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $81.28 Typical High $229.09 | Professional | TC · Technical part | $64.57 | $81.28 | $229.09 |
Emblem Health Setting Facility Modifier None Typical Low $74.13 Median $114.82 Typical High $346.74 | Facility | None | $74.13 | $114.82 | $346.74 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $177.83 Median $204.17 Typical High $338.84 | Professional | None (both parts) | $177.83 | $204.17 | $338.84 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $147.91 Typical High $204.17 | Professional | None (both parts) | $120.23 | $147.91 | $204.17 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $64.57 Typical High $70.79 | Professional | 26 · Professional part | $42.66 | $64.57 | $70.79 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $83.18 Typical High $131.83 | Professional | TC · Technical part | $74.13 | $83.18 | $131.83 |
MVP Health Care Setting Facility Modifier None Typical Low $162.18 Median $10,715.19 Typical High $17,378.01 | Facility | None | $162.18 | $10,715.19 | $17,378.01 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $134.90 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $134.90 | $346.74 | $346.74 |
United Setting Facility Modifier None Typical Low $363.08 Median $1,318.26 Typical High $6,456.54 | Facility | None | $363.08 | $1,318.26 | $6,456.54 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $177.83 Typical High $363.08 | Professional | None (both parts) | $131.83 | $177.83 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $70.79 Typical High $141.25 | Professional | 26 · Professional part | $52.48 | $70.79 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $100.00 Typical High $218.78 | Professional | TC · Technical part | $74.13 | $100.00 | $218.78 |
Univera Setting Facility Modifier None Typical Low $131.83 Median $144.54 Typical High $831.76 | Facility | None | $131.83 | $144.54 | $831.76 |
Univera Setting Facility Modifier 26 · Professional part Typical Low $50.12 Median $57.54 Typical High $257.04 | Facility | 26 · Professional part | $50.12 | $57.54 | $257.04 |
Univera Setting Facility Modifier TC · Technical part Typical Low $74.13 Median $93.33 Typical High $588.84 | Facility | TC · Technical part | $74.13 | $93.33 | $588.84 |
Univera Setting Professional Modifier None (both parts) Typical Low $120.23 Median $147.91 Typical High $204.17 | Professional | None (both parts) | $120.23 | $147.91 | $204.17 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $64.57 Typical High $70.79 | Professional | 26 · Professional part | $42.66 | $64.57 | $70.79 |
Univera Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $83.18 Typical High $131.83 | Professional | TC · Technical part | $74.13 | $83.18 | $131.83 |
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 $64.57 Median $75.86 Typical High $75.86 | Professional | 52 · Reduced service | $64.57 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $30.20 Typical High $30.20 | Professional | 53 · Discontinued | $25.70 | $30.20 | $30.20 |
Where New York sits
The same service costs 3.8 times more in Wisconsin than in Virginia. 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· 39th of 51
$166
WI $417VA $110
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.