How much rates vary
Facilitymedian $708 · 10th to 90th $74 to $6,166Professionalmedian $155 · 10th to 90th $123 to $363
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 $134.90 Median $177.83 Typical High $398.11 | Facility | None | $134.90 | $177.83 | $398.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $380.19 | Professional | None (both parts) | $134.90 | $134.90 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $77.62 | Professional | 26 · Professional part | $53.70 | $53.70 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $81.28 Typical High $302.00 | Professional | TC · Technical part | $81.28 | $81.28 | $302.00 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None (both parts) | $302.00 | $302.00 | $302.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $123.03 Median $144.54 Typical High $223.87 | Professional | None (both parts) | $123.03 | $144.54 | $223.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $48.98 Typical High $74.13 | Professional | 26 · Professional part | $41.69 | $48.98 | $74.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $95.50 Typical High $147.91 | Professional | TC · Technical part | $81.28 | $95.50 | $147.91 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $83.18 Median $147.91 Typical High $234.42 | Professional | None (both parts) | $83.18 | $147.91 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $263.03 Typical High $1,584.89 | Facility | None | $120.23 | $263.03 | $1,584.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $316.23 Typical High $1,071.52 | Professional | None (both parts) | $251.19 | $316.23 | $1,071.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $50.12 Typical High $147.91 | Professional | 26 · Professional part | $42.66 | $50.12 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $251.19 Typical High $812.83 | Professional | TC · Technical part | $199.53 | $251.19 | $812.83 |
Emblem Health Setting Facility Modifier None Typical Low $85.11 Median $131.83 Typical High $426.58 | Facility | None | $85.11 | $131.83 | $426.58 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $295.12 | Professional | None (both parts) | $199.53 | $199.53 | $295.12 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $257.04 | Professional | 26 · Professional part | $69.18 | $69.18 | $257.04 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $128.82 Typical High $190.55 | Professional | TC · Technical part | $128.82 | $128.82 | $190.55 |
Excellus BCBS Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | TC · Technical part | $44.67 | $44.67 | $44.67 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $134.90 Median $158.49 Typical High $251.19 | Professional | None (both parts) | $134.90 | $158.49 | $251.19 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $50.12 Typical High $85.11 | Professional | 26 · Professional part | $44.67 | $50.12 | $85.11 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $102.33 Typical High $208.93 | Professional | TC · Technical part | $87.10 | $102.33 | $208.93 |
MVP Health Care Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $416.87 | Professional | None (both parts) | $363.08 | $363.08 | $416.87 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $79.43 Typical High $117.49 | Professional | 26 · Professional part | $63.10 | $79.43 | $117.49 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $331.13 Typical High $537.03 | Professional | TC · Technical part | $257.04 | $331.13 | $537.03 |
United Setting Facility Modifier None Typical Low $870.96 Median $3,630.78 Typical High $9,772.37 | Facility | None | $870.96 | $3,630.78 | $9,772.37 |
United Setting Professional Modifier None (both parts) Typical Low $239.88 Median $316.23 Typical High $575.44 | Professional | None (both parts) | $239.88 | $316.23 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $58.88 Typical High $107.15 | Professional | 26 · Professional part | $45.71 | $58.88 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $257.04 Typical High $478.63 | Professional | TC · Technical part | $194.98 | $257.04 | $478.63 |
Univera Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $446.68 | Facility | None | $74.13 | $74.13 | $446.68 |
Univera Setting Facility Modifier TC · Technical part Typical Low $44.67 Median $44.67 Typical High $302.00 | Facility | TC · Technical part | $44.67 | $44.67 | $302.00 |
Univera Setting Professional Modifier None (both parts) Typical Low $134.90 Median $162.18 Typical High $288.40 | Professional | None (both parts) | $134.90 | $162.18 | $288.40 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $50.12 Typical High $85.11 | Professional | 26 · Professional part | $44.67 | $50.12 | $85.11 |
Univera Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $104.71 Typical High $234.42 | Professional | TC · Technical part | $87.10 | $104.71 | $234.42 |
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 |
|---|---|---|---|---|---|
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $245.47 Median $288.40 Typical High $288.40 | Professional | GL · Free upgrade | $245.47 | $288.40 | $288.40 |
Fidelis Setting Professional Modifier 59 · Distinct service Typical Low $177.83 Median $177.83 Typical High $245.47 | Professional | 59 · Distinct service | $177.83 | $177.83 | $245.47 |
Where New York sits
The same service costs 7.8 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
$155
AK $741UT $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.