How much rates vary
Facilitymedian $141 · 10th to 90th $93 to $427Professionalmedian $123 · 10th to 90th $98 to $224
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 $138.04 Median $144.54 Typical High $371.54 | Facility | None | $138.04 | $144.54 | $371.54 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $21.38 Median $23.99 Typical High $64.57 | Facility | 26 · Professional part | $21.38 | $23.99 | $64.57 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $112.20 Median $125.89 Typical High $309.03 | Facility | TC · Technical part | $112.20 | $125.89 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $234.42 | Professional | None (both parts) | $138.04 | $138.04 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $34.67 | Professional | 26 · Professional part | $21.38 | $21.38 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $117.49 Typical High $177.83 | Professional | TC · Technical part | $112.20 | $117.49 | $177.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $91.20 Median $107.15 Typical High $190.55 | Professional | None (both parts) | $91.20 | $107.15 | $190.55 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $97.72 Median $114.82 Typical High $186.21 | Professional | None (both parts) | $97.72 | $114.82 | $186.21 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $19.95 Typical High $31.62 | Professional | 26 · Professional part | $16.98 | $19.95 | $31.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $95.50 Typical High $158.49 | Professional | TC · Technical part | $81.28 | $95.50 | $158.49 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $33.11 Median $147.91 Typical High $181.97 | Professional | None (both parts) | $33.11 | $147.91 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $363.08 Typical High $436.52 | Facility | None | $208.93 | $363.08 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $181.97 Typical High $537.03 | Professional | None (both parts) | $109.65 | $181.97 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $19.95 Typical High $58.88 | Professional | 26 · Professional part | $17.38 | $19.95 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $134.90 Typical High $630.96 | Professional | TC · Technical part | $91.20 | $134.90 | $630.96 |
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 $154.88 Median $154.88 Typical High $229.09 | Professional | None (both parts) | $154.88 | $154.88 | $229.09 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $26.30 Typical High $181.97 | Professional | 26 · Professional part | $25.70 | $26.30 | $181.97 |
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 $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | TC · Technical part | $56.23 | $56.23 | $56.23 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $104.71 Median $114.82 Typical High $186.21 | Professional | None (both parts) | $104.71 | $114.82 | $186.21 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $19.50 Typical High $32.36 | Professional | 26 · Professional part | $17.78 | $19.50 | $32.36 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $97.72 Typical High $154.88 | Professional | TC · Technical part | $87.10 | $97.72 | $154.88 |
Highmark BCBS Setting Facility Modifier None Typical Low $112.20 Median $158.49 Typical High $229.09 | Facility | None | $112.20 | $158.49 | $229.09 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $208.93 | Professional | None (both parts) | $158.49 | $158.49 | $208.93 |
MVP Health Care Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $331.13 | Professional | None (both parts) | $138.04 | $138.04 | $331.13 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $31.62 Typical High $45.71 | Professional | 26 · Professional part | $25.12 | $31.62 | $45.71 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $165.96 Typical High $239.88 | Professional | TC · Technical part | $128.82 | $165.96 | $239.88 |
United Setting Facility Modifier None Typical Low $208.93 Median $245.47 Typical High $302.00 | Facility | None | $208.93 | $245.47 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $151.36 Typical High $281.84 | Professional | None (both parts) | $117.49 | $151.36 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $23.99 Typical High $42.66 | Professional | 26 · Professional part | $17.78 | $23.99 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $128.82 Typical High $239.88 | Professional | TC · Technical part | $97.72 | $128.82 | $239.88 |
Univera Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $371.54 | Facility | None | $93.33 | $93.33 | $371.54 |
Univera Setting Facility Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $302.00 | Facility | TC · Technical part | $56.23 | $56.23 | $302.00 |
Univera Setting Professional Modifier None (both parts) Typical Low $104.71 Median $123.03 Typical High $186.21 | Professional | None (both parts) | $104.71 | $123.03 | $186.21 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $19.50 Typical High $32.36 | Professional | 26 · Professional part | $17.78 | $19.50 | $32.36 |
Univera Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $102.33 Typical High $154.88 | Professional | TC · Technical part | $87.10 | $102.33 | $154.88 |
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 $69.18 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 53 · Discontinued | $27.54 | $27.54 | $27.54 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $169.82 Median $204.17 Typical High $204.17 | Professional | GL · Free upgrade | $169.82 | $204.17 | $204.17 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $97.72 Typical High $144.54 | Professional | 53 · Discontinued | $75.86 | $97.72 | $144.54 |
Where New York sits
The same service costs 3.7 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
$123
AK $355UT $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.