How much rates vary
Facilitymedian $229 · 10th to 90th $110 to $603Professionalmedian $178 · 10th to 90th $145 to $389
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 $169.82 Median $204.17 Typical High $436.52 | Facility | None | $169.82 | $204.17 | $436.52 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $34.67 Median $40.74 Typical High $87.10 | Facility | 26 · Professional part | $34.67 | $40.74 | $87.10 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $134.90 Median $181.97 Typical High $398.11 | Facility | TC · Technical part | $134.90 | $181.97 | $398.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $177.83 Typical High $316.23 | Professional | None (both parts) | $169.82 | $177.83 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $54.95 | Professional | 26 · Professional part | $34.67 | $34.67 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $245.47 | Professional | TC · Technical part | $134.90 | $134.90 | $245.47 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $125.89 Median $158.49 Typical High $208.93 | Professional | None (both parts) | $125.89 | $158.49 | $208.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $144.54 Median $169.82 Typical High $275.42 | Professional | None (both parts) | $144.54 | $169.82 | $275.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $33.11 Typical High $47.86 | Professional | 26 · Professional part | $28.18 | $33.11 | $47.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $138.04 Typical High $223.87 | Professional | TC · Technical part | $117.49 | $138.04 | $223.87 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $54.95 Median $223.87 Typical High $281.84 | Professional | None (both parts) | $54.95 | $223.87 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $478.63 Typical High $630.96 | Facility | None | $323.59 | $478.63 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $245.47 Typical High $776.25 | Professional | None (both parts) | $147.91 | $245.47 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $33.11 Typical High $95.50 | Professional | 26 · Professional part | $28.84 | $33.11 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $177.83 Typical High $758.58 | Professional | TC · Technical part | $125.89 | $177.83 | $758.58 |
Emblem Health Setting Facility Modifier None Typical Low $120.23 Median $186.21 Typical High $602.56 | Facility | None | $120.23 | $186.21 | $602.56 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $138.04 Median $199.53 Typical High $213.80 | Professional | None (both parts) | $138.04 | $199.53 | $213.80 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $43.65 Typical High $275.42 | Professional | 26 · Professional part | $42.66 | $43.65 | $275.42 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $181.97 Typical High $269.15 | Professional | TC · Technical part | $181.97 | $181.97 | $269.15 |
Excellus BCBS Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | TC · Technical part | $66.07 | $66.07 | $66.07 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $158.49 Typical High $263.03 | Professional | None (both parts) | $151.36 | $158.49 | $263.03 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $32.36 Typical High $53.70 | Professional | 26 · Professional part | $30.20 | $32.36 | $53.70 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $125.89 Typical High $208.93 | Professional | TC · Technical part | $123.03 | $125.89 | $208.93 |
Fidelis Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $38.02 Typical High $61.66 | Professional | 26 · Professional part | $31.62 | $38.02 | $61.66 |
Highmark BCBS Setting Facility Modifier None Typical Low $234.42 Median $389.05 Typical High $1,096.48 | Facility | None | $234.42 | $389.05 | $1,096.48 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $190.55 Median $398.11 Typical High $691.83 | Facility | TC · Technical part | $190.55 | $398.11 | $691.83 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $173.78 Median $234.42 Typical High $309.03 | Professional | None (both parts) | $173.78 | $234.42 | $309.03 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $46.77 Typical High $91.20 | Professional | 26 · Professional part | $35.48 | $46.77 | $91.20 |
MVP Health Care Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $295.12 Median $389.05 Typical High $489.78 | Professional | None (both parts) | $295.12 | $389.05 | $489.78 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $52.48 Typical High $75.86 | Professional | 26 · Professional part | $41.69 | $52.48 | $75.86 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $208.93 Typical High $302.00 | Professional | TC · Technical part | $162.18 | $208.93 | $302.00 |
United Setting Facility Modifier None Typical Low $478.63 Median $562.34 Typical High $691.83 | Facility | None | $478.63 | $562.34 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $204.17 Typical High $371.54 | Professional | None (both parts) | $154.88 | $204.17 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $38.90 Typical High $69.18 | Professional | 26 · Professional part | $28.84 | $38.90 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $162.18 Typical High $302.00 | Professional | TC · Technical part | $125.89 | $162.18 | $302.00 |
Univera Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $575.44 | Facility | None | $109.65 | $109.65 | $575.44 |
Univera Setting Facility Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $478.63 | Facility | TC · Technical part | $66.07 | $66.07 | $478.63 |
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 $30.20 Median $32.36 Typical High $51.29 | Professional | 26 · Professional part | $30.20 | $32.36 | $51.29 |
Univera Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $144.54 Typical High $199.53 | Professional | TC · Technical part | $123.03 | $144.54 | $199.53 |
4 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 $85.11 Median $85.11 Typical High $109.65 | Professional | 52 · Reduced service | $85.11 | $85.11 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $43.65 | Professional | 53 · Discontinued | $33.88 | $33.88 | $43.65 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $229.09 Median $275.42 Typical High $275.42 | Professional | GL · Free upgrade | $229.09 | $275.42 | $275.42 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $128.82 Typical High $190.55 | Professional | 53 · Discontinued | $102.33 | $128.82 | $190.55 |
Where New York sits
The same service costs 3.2 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
$178
MN $501UT $158
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.