How much rates vary
Facilitymedian $6,166 · 10th to 90th $95 to $61,660Professionalmedian $191 · 10th to 90th $158 to $339
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 $239.88 Median $43,651.58 Typical High $43,651.58 | Facility | None | $239.88 | $43,651.58 | $43,651.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $229.09 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $147.91 Typical High $169.82 | Professional | 26 · Professional part | $147.91 | $147.91 | $169.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $95.50 Typical High $95.50 | Professional | TC · Technical part | $60.26 | $95.50 | $95.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $10,471.29 Median $28,183.83 Typical High $117,489.76 | Facility | None | $10,471.29 | $28,183.83 | $117,489.76 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $158.49 Median $186.21 Typical High $208.93 | Professional | None (both parts) | $158.49 | $186.21 | $208.93 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $138.04 Typical High $151.36 | Professional | 26 · Professional part | $117.49 | $138.04 | $151.36 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $50.12 Typical High $54.95 | Professional | TC · Technical part | $42.66 | $50.12 | $54.95 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $74.13 Median $204.17 Typical High $281.84 | Professional | None (both parts) | $74.13 | $204.17 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $21,877.62 Typical High $50,118.72 | Facility | None | $316.23 | $21,877.62 | $50,118.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $537.03 | Professional | None (both parts) | $190.55 | $190.55 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $138.04 Typical High $389.05 | Professional | 26 · Professional part | $138.04 | $138.04 | $389.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $177.83 | Professional | TC · Technical part | $54.95 | $54.95 | $177.83 |
Emblem Health Setting Facility Modifier None Typical Low $40.74 Median $60.26 Typical High $199.53 | Facility | None | $40.74 | $60.26 | $199.53 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $338.84 | Professional | None (both parts) | $223.87 | $223.87 | $338.84 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $162.18 Typical High $251.19 | Professional | 26 · Professional part | $162.18 | $162.18 | $251.19 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $63.10 Typical High $91.20 | Professional | TC · Technical part | $60.26 | $63.10 | $91.20 |
Excellus BCBS Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | TC · Technical part | $56.23 | $56.23 | $56.23 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $181.97 Typical High $323.59 | Professional | None (both parts) | $128.82 | $181.97 | $323.59 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $134.90 Typical High $239.88 | Professional | 26 · Professional part | $95.50 | $134.90 | $239.88 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $47.86 Typical High $81.28 | Professional | TC · Technical part | $33.11 | $47.86 | $81.28 |
MVP Health Care Setting Facility Modifier None Typical Low $204.17 Median $61,659.50 Typical High $89,125.09 | Facility | None | $204.17 | $61,659.50 | $89,125.09 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None (both parts) | $338.84 | $338.84 | $338.84 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $181.97 Typical High $229.09 | Professional | 26 · Professional part | $151.36 | $181.97 | $229.09 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $3,162.28 Typical High $11,220.18 | Facility | None | $1,318.26 | $3,162.28 | $11,220.18 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $229.09 Typical High $398.11 | Professional | None (both parts) | $147.91 | $229.09 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $165.96 Typical High $269.15 | Professional | 26 · Professional part | $107.15 | $165.96 | $269.15 |
United Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $64.57 Typical High $123.03 | Professional | TC · Technical part | $38.90 | $64.57 | $123.03 |
Univera Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $724.44 | Facility | None | $95.50 | $95.50 | $724.44 |
Univera Setting Facility Modifier TC · Technical part Typical Low $33.11 Median $56.23 Typical High $245.47 | Facility | TC · Technical part | $33.11 | $56.23 | $245.47 |
Univera Setting Professional Modifier None (both parts) Typical Low $128.82 Median $199.53 Typical High $316.23 | Professional | None (both parts) | $128.82 | $199.53 | $316.23 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $134.90 Typical High $234.42 | Professional | 26 · Professional part | $95.50 | $134.90 | $234.42 |
Univera Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $58.88 Typical High $81.28 | Professional | TC · Technical part | $33.11 | $58.88 | $81.28 |
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 $114.82 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $114.82 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $45.71 | $47.86 | $47.86 |
Where New York sits
The same service costs 3.5 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· 45th of 51
$195
AK $468UT $132
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.