How much rates vary
Facilitymedian $132 · 10th to 90th $44 to $661Professionalmedian $251 · 10th to 90th $214 to $479
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 $229.09 Median $338.84 Typical High $645.65 | Facility | None | $229.09 | $338.84 | $645.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $338.84 | Professional | None (both parts) | $229.09 | $229.09 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $204.17 Typical High $275.42 | Professional | 26 · Professional part | $204.17 | $204.17 | $275.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $25.12 Typical High $53.70 | Professional | TC · Technical part | $25.12 | $25.12 | $53.70 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $213.80 Median $251.19 Typical High $275.42 | Professional | None (both parts) | $213.80 | $251.19 | $275.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $223.87 Typical High $245.47 | Professional | 26 · Professional part | $190.55 | $223.87 | $245.47 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $26.30 Typical High $29.51 | Professional | TC · Technical part | $22.39 | $26.30 | $29.51 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $60.26 Median $346.74 Typical High $407.38 | Professional | None (both parts) | $60.26 | $346.74 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $467.74 Typical High $549.54 | Facility | None | $43.65 | $467.74 | $549.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $758.58 | Professional | None (both parts) | $281.84 | $281.84 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $234.42 Typical High $588.84 | Professional | 26 · Professional part | $229.09 | $234.42 | $588.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $48.98 Typical High $131.83 | Professional | TC · Technical part | $41.69 | $48.98 | $131.83 |
Emblem Health Setting Facility Modifier None Typical Low $37.15 Median $57.54 Typical High $181.97 | Facility | None | $37.15 | $57.54 | $181.97 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $501.19 | Professional | None (both parts) | $323.59 | $323.59 | $501.19 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $269.15 Typical High $416.87 | Professional | 26 · Professional part | $269.15 | $269.15 | $416.87 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $83.18 | Professional | TC · Technical part | $56.23 | $56.23 | $83.18 |
Excellus BCBS Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | TC · Technical part | $79.43 | $79.43 | $79.43 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $229.09 Median $269.15 Typical High $363.08 | Professional | None (both parts) | $229.09 | $269.15 | $363.08 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $223.87 Typical High $309.03 | Professional | 26 · Professional part | $190.55 | $223.87 | $309.03 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $43.65 Typical High $81.28 | Professional | TC · Technical part | $37.15 | $43.65 | $81.28 |
MVP Health Care Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None (both parts) | $478.63 | $478.63 | $478.63 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $309.03 Typical High $380.19 | Professional | 26 · Professional part | $251.19 | $309.03 | $380.19 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $48.98 Typical High $60.26 | Professional | TC · Technical part | $38.02 | $48.98 | $60.26 |
United Setting Facility Modifier None Typical Low $616.60 Median $724.44 Typical High $891.25 | Facility | None | $616.60 | $724.44 | $891.25 |
United Setting Professional Modifier None (both parts) Typical Low $208.93 Median $281.84 Typical High $489.78 | Professional | None (both parts) | $208.93 | $281.84 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $239.88 Typical High $426.58 | Professional | 26 · Professional part | $177.83 | $239.88 | $426.58 |
United Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $40.74 Typical High $87.10 | Professional | TC · Technical part | $33.11 | $40.74 | $87.10 |
Univera Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $1,096.48 | Facility | None | $131.83 | $131.83 | $1,096.48 |
Univera Setting Facility Modifier TC · Technical part Typical Low $44.67 Median $79.43 Typical High $177.83 | Facility | TC · Technical part | $44.67 | $79.43 | $177.83 |
Univera Setting Professional Modifier None (both parts) Typical Low $229.09 Median $269.15 Typical High $363.08 | Professional | None (both parts) | $229.09 | $269.15 | $363.08 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $223.87 Typical High $309.03 | Professional | 26 · Professional part | $190.55 | $223.87 | $309.03 |
Univera Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $43.65 Typical High $81.28 | Professional | TC · Technical part | $37.15 | $43.65 | $81.28 |
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 $114.82 Median $114.82 Typical High $151.36 | Professional | 52 · Reduced service | $114.82 | $114.82 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $60.26 | Professional | 53 · Discontinued | $45.71 | $45.71 | $60.26 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $177.83 Typical High $218.78 | Professional | 53 · Discontinued | $144.54 | $177.83 | $218.78 |
Where New York sits
The same service costs 3.3 times more in Minnesota 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· 48th of 51
$251
MN $661UT $200
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.