How much rates vary
Facilitymedian $129 · 10th to 90th $93 to $398Professionalmedian $115 · 10th to 90th $93 to $209
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 $117.49 Median $147.91 Typical High $870.96 | Facility | None | $117.49 | $147.91 | $870.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $199.53 | Professional | None (both parts) | $117.49 | $117.49 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $28.84 | Professional | 26 · Professional part | $22.39 | $22.39 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $93.33 Typical High $169.82 | Professional | TC · Technical part | $93.33 | $93.33 | $169.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $125.89 | Professional | None (both parts) | $95.50 | $95.50 | $125.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $91.20 Median $109.65 Typical High $177.83 | Professional | None (both parts) | $91.20 | $109.65 | $177.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $20.89 Typical High $30.90 | Professional | 26 · Professional part | $17.78 | $20.89 | $30.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $87.10 Typical High $144.54 | Professional | TC · Technical part | $74.13 | $87.10 | $144.54 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $34.67 Median $147.91 Typical High $181.97 | Professional | None (both parts) | $34.67 | $147.91 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $316.23 Typical High $416.87 | Facility | None | $194.98 | $316.23 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $158.49 Typical High $457.09 | Professional | None (both parts) | $95.50 | $158.49 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $21.88 Typical High $63.10 | Professional | 26 · Professional part | $19.05 | $21.88 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $114.82 Typical High $501.19 | Professional | TC · Technical part | $81.28 | $114.82 | $501.19 |
Emblem Health Setting Facility Modifier None Typical Low $81.28 Median $123.03 Typical High $398.11 | Facility | None | $81.28 | $123.03 | $398.11 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $151.36 Typical High $181.97 | Professional | None (both parts) | $89.13 | $151.36 | $181.97 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $27.54 Typical High $158.49 | Professional | 26 · Professional part | $26.92 | $27.54 | $158.49 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $120.23 Typical High $181.97 | Professional | TC · Technical part | $120.23 | $120.23 | $181.97 |
Excellus BCBS Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
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 $100.00 Median $117.49 Typical High $173.78 | Professional | None (both parts) | $100.00 | $117.49 | $173.78 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.95 Typical High $33.11 | Professional | 26 · Professional part | $19.05 | $19.95 | $33.11 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $95.50 Typical High $141.25 | Professional | TC · Technical part | $81.28 | $95.50 | $141.25 |
Highmark BCBS Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $194.98 | Facility | None | $104.71 | $104.71 | $194.98 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $208.93 | Professional | None (both parts) | $199.53 | $199.53 | $208.93 |
MVP Health Care Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $323.59 | Professional | None (both parts) | $169.82 | $169.82 | $323.59 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $33.11 Typical High $46.77 | Professional | 26 · Professional part | $26.30 | $33.11 | $46.77 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $134.90 Typical High $204.17 | Professional | TC · Technical part | $104.71 | $134.90 | $204.17 |
United Setting Facility Modifier None Typical Low $208.93 Median $245.47 Typical High $302.00 | Facility | None | $208.93 | $245.47 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $102.33 Median $131.83 Typical High $245.47 | Professional | None (both parts) | $102.33 | $131.83 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $25.70 Typical High $46.77 | Professional | 26 · Professional part | $18.62 | $25.70 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $104.71 Typical High $199.53 | Professional | TC · Technical part | $83.18 | $104.71 | $199.53 |
Univera Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $389.05 | Facility | None | $93.33 | $93.33 | $389.05 |
Univera Setting Facility Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $316.23 | Facility | TC · Technical part | $56.23 | $56.23 | $316.23 |
Univera Setting Professional Modifier None (both parts) Typical Low $100.00 Median $120.23 Typical High $162.18 | Professional | None (both parts) | $100.00 | $120.23 | $162.18 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.95 Typical High $31.62 | Professional | 26 · Professional part | $19.05 | $19.95 | $31.62 |
Univera Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $95.50 Typical High $138.04 | Professional | TC · Technical part | $81.28 | $95.50 | $138.04 |
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 $58.88 Median $58.88 Typical High $74.13 | Professional | 52 · Reduced service | $58.88 | $58.88 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $29.51 | Professional | 53 · Discontinued | $23.44 | $23.44 | $29.51 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $147.91 Median $177.83 Typical High $177.83 | Professional | GL · Free upgrade | $147.91 | $177.83 | $177.83 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $85.11 Typical High $125.89 | Professional | 53 · Discontinued | $66.07 | $85.11 | $125.89 |
Where New York sits
The same service costs 3.3 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· 49th of 51
$115
AK $316UT $95.50
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.