How much rates vary
Facilitymedian $170 · 10th to 90th $72 to $550Professionalmedian $148 · 10th to 90th $112 to $269
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 $147.91 Median $165.96 Typical High $363.08 | Facility | None | $147.91 | $165.96 | $363.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $269.15 | Professional | None (both parts) | $154.88 | $154.88 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $34.67 | Professional | 26 · Professional part | $21.88 | $21.88 | $34.67 |
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 $125.89 Typical High $162.18 | Professional | None (both parts) | $125.89 | $125.89 | $162.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $141.25 Typical High $223.87 | Professional | None (both parts) | $120.23 | $141.25 | $223.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $20.42 Typical High $32.36 | Professional | 26 · Professional part | $17.38 | $20.42 | $32.36 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $120.23 Typical High $199.53 | Professional | TC · Technical part | $102.33 | $120.23 | $199.53 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $33.88 Median $194.98 Typical High $229.09 | Professional | None (both parts) | $33.88 | $194.98 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $416.87 Typical High $549.54 | Facility | None | $331.13 | $416.87 | $549.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $204.17 Typical High $588.84 | Professional | None (both parts) | $123.03 | $204.17 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $21.38 Typical High $61.66 | Professional | 26 · Professional part | $19.05 | $21.38 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $151.36 Typical High $707.95 | Professional | TC · Technical part | $114.82 | $151.36 | $707.95 |
Emblem Health Setting Facility Modifier None Typical Low $112.20 Median $173.78 Typical High $562.34 | Facility | None | $112.20 | $173.78 | $562.34 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $295.12 | Professional | None (both parts) | $169.82 | $169.82 | $295.12 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $25.12 Typical High $213.80 | Professional | 26 · Professional part | $23.99 | $25.12 | $213.80 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $251.19 | Professional | TC · Technical part | $144.54 | $144.54 | $251.19 |
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 $43.65 Median $43.65 Typical High $43.65 | Facility | TC · Technical part | $43.65 | $43.65 | $43.65 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $158.49 Typical High $223.87 | Professional | None (both parts) | $131.83 | $158.49 | $223.87 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $20.42 Typical High $33.11 | Professional | 26 · Professional part | $19.50 | $20.42 | $33.11 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $134.90 Typical High $190.55 | Professional | TC · Technical part | $112.20 | $134.90 | $190.55 |
Highmark BCBS Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
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 $109.65 Median $109.65 Typical High $407.38 | Professional | None (both parts) | $109.65 | $109.65 | $407.38 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $32.36 Typical High $46.77 | Professional | 26 · Professional part | $25.70 | $32.36 | $46.77 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $181.97 Typical High $275.42 | Professional | TC · Technical part | $141.25 | $181.97 | $275.42 |
United Setting Facility Modifier None Typical Low $436.52 Median $501.19 Typical High $616.60 | Facility | None | $436.52 | $501.19 | $616.60 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $165.96 Typical High $309.03 | Professional | None (both parts) | $131.83 | $165.96 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $24.55 Typical High $44.67 | Professional | 26 · Professional part | $18.62 | $24.55 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $141.25 Typical High $269.15 | Professional | TC · Technical part | $112.20 | $141.25 | $269.15 |
Univera Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $501.19 | Facility | None | $72.44 | $72.44 | $501.19 |
Univera Setting Facility Modifier TC · Technical part Typical Low $43.65 Median $43.65 Typical High $426.58 | Facility | TC · Technical part | $43.65 | $43.65 | $426.58 |
Univera Setting Professional Modifier None (both parts) Typical Low $131.83 Median $158.49 Typical High $213.80 | Professional | None (both parts) | $131.83 | $158.49 | $213.80 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $20.42 Typical High $31.62 | Professional | 26 · Professional part | $19.50 | $20.42 | $31.62 |
Univera Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $134.90 Typical High $181.97 | Professional | TC · Technical part | $112.20 | $134.90 | $181.97 |
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 $77.62 Median $77.62 Typical High $93.33 | Professional | 52 · Reduced service | $77.62 | $77.62 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $37.15 | Professional | 53 · Discontinued | $31.62 | $31.62 | $37.15 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $204.17 Median $239.88 Typical High $239.88 | Professional | GL · Free upgrade | $204.17 | $239.88 | $239.88 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $107.15 Typical High $162.18 | Professional | 53 · Discontinued | $83.18 | $107.15 | $162.18 |
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
$148
AK $417UT $126
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.