How much rates vary
Facilitymedian $275 · 10th to 90th $110 to $813Professionalmedian $240 · 10th to 90th $191 to $427
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 $177.83 Median $316.23 Typical High $1,318.26 | Facility | None | $177.83 | $316.23 | $1,318.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $389.05 | Professional | None (both parts) | $177.83 | $177.83 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $66.07 | Professional | 26 · Professional part | $40.74 | $40.74 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $316.23 | Professional | TC · Technical part | $134.90 | $134.90 | $316.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | None (both parts) | $316.23 | $316.23 | $316.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $204.17 Median $239.88 Typical High $331.13 | Professional | None (both parts) | $204.17 | $239.88 | $331.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.02 Typical High $60.26 | Professional | 26 · Professional part | $32.36 | $38.02 | $60.26 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $199.53 Typical High $275.42 | Professional | TC · Technical part | $169.82 | $199.53 | $275.42 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $66.07 Median $316.23 Typical High $380.19 | Professional | None (both parts) | $66.07 | $316.23 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $676.08 Typical High $891.25 | Facility | None | $426.58 | $676.08 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $323.59 Typical High $933.25 | Professional | None (both parts) | $208.93 | $323.59 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.90 Typical High $120.23 | Professional | 26 · Professional part | $33.11 | $38.90 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $239.88 Typical High $1,071.52 | Professional | TC · Technical part | $173.78 | $239.88 | $1,071.52 |
Emblem Health Setting Facility Modifier None Typical Low $177.83 Median $275.42 Typical High $891.25 | Facility | None | $177.83 | $275.42 | $891.25 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $316.23 Median $323.59 Typical High $478.63 | Professional | None (both parts) | $316.23 | $323.59 | $478.63 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $53.70 Typical High $302.00 | Professional | 26 · Professional part | $51.29 | $53.70 | $302.00 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $269.15 Typical High $398.11 | Professional | TC · Technical part | $269.15 | $269.15 | $398.11 |
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 $208.93 Median $218.78 Typical High $363.08 | Professional | None (both parts) | $208.93 | $218.78 | $363.08 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.90 Typical High $64.57 | Professional | 26 · Professional part | $35.48 | $38.90 | $64.57 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $181.97 Typical High $295.12 | Professional | TC · Technical part | $173.78 | $181.97 | $295.12 |
Fidelis Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $63.10 | $63.10 | $63.10 |
Highmark BCBS Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $398.11 | Facility | None | $346.74 | $346.74 | $398.11 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $57.54 | $57.54 | $57.54 |
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 $213.80 Median $213.80 Typical High $660.69 | Professional | None (both parts) | $213.80 | $213.80 | $660.69 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $61.66 Typical High $93.33 | Professional | 26 · Professional part | $50.12 | $61.66 | $93.33 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $295.12 Typical High $457.09 | Professional | TC · Technical part | $229.09 | $295.12 | $457.09 |
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 $208.93 Median $275.42 Typical High $512.86 | Professional | None (both parts) | $208.93 | $275.42 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $45.71 Typical High $85.11 | Professional | 26 · Professional part | $35.48 | $45.71 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $229.09 Typical High $436.52 | Professional | TC · Technical part | $181.97 | $229.09 | $436.52 |
Univera Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $645.65 | Facility | None | $109.65 | $109.65 | $645.65 |
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 $208.93 Median $245.47 Typical High $338.84 | Professional | None (both parts) | $208.93 | $245.47 | $338.84 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.90 Typical High $61.66 | Professional | 26 · Professional part | $35.48 | $38.90 | $61.66 |
Univera Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $204.17 Typical High $281.84 | Professional | TC · Technical part | $173.78 | $204.17 | $281.84 |
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 $89.13 Median $89.13 Typical High $141.25 | Professional | 52 · Reduced service | $89.13 | $89.13 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $56.23 | Professional | 53 · Discontinued | $35.48 | $35.48 | $56.23 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $281.84 Median $338.84 Typical High $338.84 | Professional | GL · Free upgrade | $281.84 | $338.84 | $338.84 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $177.83 Typical High $275.42 | Professional | 53 · Discontinued | $138.04 | $177.83 | $275.42 |
Where New York sits
The same service costs 3.0 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· 47th of 51
$240
AK $646UT $214
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.