How much rates vary
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 $125.89 Median $177.83 Typical High $489.78 | Facility | None | $125.89 | $177.83 | $489.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $194.98 | Professional | None (both parts) | $134.90 | $134.90 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $70.79 | Professional | 26 · Professional part | $51.29 | $51.29 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $81.28 Typical High $125.89 | Professional | TC · Technical part | $81.28 | $81.28 | $125.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $114.82 Median $141.25 Typical High $213.80 | Professional | None (both parts) | $114.82 | $141.25 | $213.80 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $50.12 Typical High $75.86 | Professional | 26 · Professional part | $42.66 | $50.12 | $75.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $93.33 Typical High $154.88 | Professional | TC · Technical part | $79.43 | $93.33 | $154.88 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $85.11 Median $147.91 Typical High $234.42 | Professional | None (both parts) | $85.11 | $147.91 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $269.15 Typical High $1,778.28 | Facility | None | $120.23 | $269.15 | $1,778.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $363.08 Typical High $1,047.13 | Professional | None (both parts) | $269.15 | $363.08 | $1,047.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $51.29 Typical High $147.91 | Professional | 26 · Professional part | $43.65 | $51.29 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $309.03 Typical High $831.76 | Professional | TC · Technical part | $223.87 | $309.03 | $831.76 |
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 $338.84 | Professional | None (both parts) | $199.53 | $199.53 | $338.84 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $69.18 Typical High $251.19 | Professional | 26 · Professional part | $67.61 | $69.18 | $251.19 |
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 $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | TC · Technical part | $42.66 | $42.66 | $42.66 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $134.90 Median $158.49 Typical High $309.03 | Professional | None (both parts) | $134.90 | $158.49 | $309.03 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $51.29 Typical High $85.11 | Professional | 26 · Professional part | $45.71 | $51.29 | $85.11 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $102.33 Typical High $269.15 | Professional | TC · Technical part | $87.10 | $102.33 | $269.15 |
MVP Health Care Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $354.81 Median $354.81 Typical High $457.09 | Professional | None (both parts) | $354.81 | $354.81 | $457.09 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $77.62 Typical High $120.23 | Professional | 26 · Professional part | $63.10 | $77.62 | $120.23 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $389.05 Typical High $660.69 | Professional | TC · Technical part | $302.00 | $389.05 | $660.69 |
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 $275.42 Median $363.08 Typical High $660.69 | Professional | None (both parts) | $275.42 | $363.08 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $57.54 Typical High $107.15 | Professional | 26 · Professional part | $45.71 | $57.54 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $302.00 Typical High $562.34 | Professional | TC · Technical part | $234.42 | $302.00 | $562.34 |
Univera Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $446.68 | Facility | None | $72.44 | $72.44 | $446.68 |
Univera Setting Facility Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $302.00 | Facility | TC · Technical part | $42.66 | $42.66 | $302.00 |
Univera Setting Professional Modifier None (both parts) Typical Low $134.90 Median $162.18 Typical High $354.81 | Professional | None (both parts) | $134.90 | $162.18 | $354.81 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $51.29 Typical High $85.11 | Professional | 26 · Professional part | $45.71 | $51.29 | $85.11 |
Univera Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $107.15 Typical High $269.15 | Professional | TC · Technical part | $87.10 | $107.15 | $269.15 |
1 more rate 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 $234.42 Median $281.84 Typical High $281.84 | Professional | GL · Free upgrade | $234.42 | $281.84 | $281.84 |
Where New York sits
The same service costs 9.1 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
$151
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.