How much rates vary
Facilitymedian $257 · 10th to 90th $110 to $759Professionalmedian $219 · 10th to 90th $170 to $407
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 $169.82 Median $257.04 Typical High $562.34 | Facility | None | $169.82 | $257.04 | $562.34 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $33.88 Median $39.81 Typical High $89.13 | Facility | 26 · Professional part | $33.88 | $39.81 | $89.13 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $134.90 Median $218.78 Typical High $478.63 | Facility | TC · Technical part | $134.90 | $218.78 | $478.63 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $177.83 Typical High $371.54 | Professional | None (both parts) | $169.82 | $177.83 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $53.70 | Professional | 26 · Professional part | $33.88 | $33.88 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $144.54 Typical High $309.03 | Professional | TC · Technical part | $134.90 | $144.54 | $309.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $158.49 Median $229.09 Typical High $245.47 | Professional | None (both parts) | $158.49 | $229.09 | $245.47 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $186.21 Median $218.78 Typical High $346.74 | Professional | None (both parts) | $186.21 | $218.78 | $346.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $32.36 Typical High $48.98 | Professional | 26 · Professional part | $27.54 | $32.36 | $48.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $186.21 Typical High $281.84 | Professional | TC · Technical part | $158.49 | $186.21 | $281.84 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $53.70 Median $302.00 Typical High $354.81 | Professional | None (both parts) | $53.70 | $302.00 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $645.65 Typical High $851.14 | Facility | None | $389.05 | $645.65 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $302.00 Typical High $870.96 | Professional | None (both parts) | $190.55 | $302.00 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $32.36 Typical High $93.33 | Professional | 26 · Professional part | $28.18 | $32.36 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $223.87 Typical High $977.24 | Professional | TC · Technical part | $162.18 | $223.87 | $977.24 |
Emblem Health Setting Facility Modifier None Typical Low $162.18 Median $245.47 Typical High $794.33 | Facility | None | $162.18 | $245.47 | $794.33 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $426.58 | Professional | None (both parts) | $281.84 | $281.84 | $426.58 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $295.12 | Professional | 26 · Professional part | $42.66 | $42.66 | $295.12 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $239.88 Typical High $363.08 | Professional | TC · Technical part | $239.88 | $239.88 | $363.08 |
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 $190.55 Median $199.53 Typical High $338.84 | Professional | None (both parts) | $190.55 | $199.53 | $338.84 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $31.62 Typical High $53.70 | Professional | 26 · Professional part | $29.51 | $31.62 | $53.70 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $169.82 Typical High $281.84 | Professional | TC · Technical part | $162.18 | $169.82 | $281.84 |
Highmark BCBS Setting Facility Modifier None Typical Low $251.19 Median $363.08 Typical High $954.99 | Facility | None | $251.19 | $363.08 | $954.99 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $218.78 Median $295.12 Typical High $302.00 | Professional | None (both parts) | $218.78 | $295.12 | $302.00 |
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 $169.82 Median $169.82 Typical High $602.56 | Professional | None (both parts) | $169.82 | $169.82 | $602.56 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $51.29 Typical High $75.86 | Professional | 26 · Professional part | $40.74 | $51.29 | $75.86 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $281.84 Typical High $407.38 | Professional | TC · Technical part | $218.78 | $281.84 | $407.38 |
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 $194.98 Median $257.04 Typical High $478.63 | Professional | None (both parts) | $194.98 | $257.04 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $38.02 Typical High $69.18 | Professional | 26 · Professional part | $28.18 | $38.02 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $218.78 Typical High $407.38 | Professional | TC · Technical part | $165.96 | $218.78 | $407.38 |
Univera Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $575.44 | Facility | None | $109.65 | $109.65 | $575.44 |
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 $190.55 Median $223.87 Typical High $338.84 | Professional | None (both parts) | $190.55 | $223.87 | $338.84 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $31.62 Typical High $53.70 | Professional | 26 · Professional part | $29.51 | $31.62 | $53.70 |
Univera Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $190.55 Typical High $281.84 | Professional | TC · Technical part | $162.18 | $190.55 | $281.84 |
5 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 $85.11 Median $85.11 Typical High $128.82 | Professional | 52 · Reduced service | $85.11 | $85.11 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $51.29 | Professional | 53 · Discontinued | $33.88 | $33.88 | $51.29 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $275.42 Median $331.13 Typical High $331.13 | Professional | GL · Free upgrade | $275.42 | $331.13 | $331.13 |
Fidelis Setting Professional Modifier 59 · Distinct service Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 59 · Distinct service | $199.53 | $199.53 | $199.53 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $165.96 Typical High $245.47 | Professional | 53 · Discontinued | $128.82 | $165.96 | $245.47 |
Where New York sits
The same service costs 3.2 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
$219
AK $603UT $191
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.