How much rates vary
Facilitymedian $224 · 10th to 90th $110 to $589Professionalmedian $170 · 10th to 90th $145 to $316
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 $165.96 Median $204.17 Typical High $426.58 | Facility | None | $165.96 | $204.17 | $426.58 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $30.20 Median $36.31 Typical High $60.26 | Facility | 26 · Professional part | $30.20 | $36.31 | $60.26 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $134.90 Median $181.97 Typical High $446.68 | Facility | TC · Technical part | $134.90 | $181.97 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $177.83 Typical High $309.03 | Professional | None (both parts) | $165.96 | $177.83 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $31.62 Typical High $50.12 | Professional | 26 · Professional part | $30.20 | $31.62 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $138.04 Typical High $251.19 | Professional | TC · Technical part | $134.90 | $138.04 | $251.19 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $123.03 Median $169.82 Typical High $186.21 | Professional | None (both parts) | $123.03 | $169.82 | $186.21 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $144.54 Median $169.82 Typical High $269.15 | Professional | None (both parts) | $144.54 | $169.82 | $269.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.84 Typical High $44.67 | Professional | 26 · Professional part | $24.55 | $28.84 | $44.67 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $138.04 Typical High $223.87 | Professional | TC · Technical part | $117.49 | $138.04 | $223.87 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $47.86 Median $229.09 Typical High $275.42 | Professional | None (both parts) | $47.86 | $229.09 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $478.63 Typical High $630.96 | Facility | None | $323.59 | $478.63 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $239.88 Typical High $707.95 | Professional | None (both parts) | $144.54 | $239.88 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $28.84 Typical High $89.13 | Professional | 26 · Professional part | $25.12 | $28.84 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $173.78 Typical High $758.58 | Professional | TC · Technical part | $117.49 | $173.78 | $758.58 |
Emblem Health Setting Facility Modifier None Typical Low $120.23 Median $186.21 Typical High $602.56 | Facility | None | $120.23 | $186.21 | $602.56 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $323.59 | Professional | None (both parts) | $218.78 | $218.78 | $323.59 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $38.02 Typical High $295.12 | Professional | 26 · Professional part | $36.31 | $38.02 | $295.12 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $181.97 Typical High $269.15 | Professional | TC · Technical part | $181.97 | $181.97 | $269.15 |
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 $147.91 Median $158.49 Typical High $257.04 | Professional | None (both parts) | $147.91 | $158.49 | $257.04 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $28.18 Typical High $45.71 | Professional | 26 · Professional part | $26.30 | $28.18 | $45.71 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $128.82 Typical High $213.80 | Professional | TC · Technical part | $123.03 | $128.82 | $213.80 |
Fidelis Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $37.15 Typical High $50.12 | Professional | 26 · Professional part | $32.36 | $37.15 | $50.12 |
Highmark BCBS Setting Facility Modifier None Typical Low $245.47 Median $331.13 Typical High $1,122.02 | Facility | None | $245.47 | $331.13 | $1,122.02 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $199.53 Median $416.87 Typical High $660.69 | Facility | TC · Technical part | $199.53 | $416.87 | $660.69 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $169.82 Median $223.87 Typical High $309.03 | Professional | None (both parts) | $169.82 | $223.87 | $309.03 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $41.69 Typical High $67.61 | Professional | 26 · Professional part | $30.20 | $41.69 | $67.61 |
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 $151.36 Median $151.36 Typical High $478.63 | Professional | None (both parts) | $151.36 | $151.36 | $478.63 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $44.67 Typical High $66.07 | Professional | 26 · Professional part | $36.31 | $44.67 | $66.07 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $208.93 Typical High $309.03 | Professional | TC · Technical part | $162.18 | $208.93 | $309.03 |
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 $151.36 Median $199.53 Typical High $363.08 | Professional | None (both parts) | $151.36 | $199.53 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $33.88 Typical High $63.10 | Professional | 26 · Professional part | $25.70 | $33.88 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $162.18 Typical High $302.00 | Professional | TC · Technical part | $125.89 | $162.18 | $302.00 |
Univera Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $588.84 | Facility | None | $109.65 | $109.65 | $588.84 |
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 $147.91 Median $173.78 Typical High $245.47 | Professional | None (both parts) | $147.91 | $173.78 | $245.47 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $28.18 Typical High $43.65 | Professional | 26 · Professional part | $26.30 | $28.18 | $43.65 |
Univera Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $144.54 Typical High $199.53 | Professional | TC · Technical part | $123.03 | $144.54 | $199.53 |
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 $83.18 Median $83.18 Typical High $109.65 | Professional | 52 · Reduced service | $83.18 | $83.18 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $44.67 | Professional | 53 · Discontinued | $33.11 | $33.11 | $44.67 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $245.47 Median $295.12 Typical High $295.12 | Professional | GL · Free upgrade | $245.47 | $295.12 | $295.12 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $125.89 Typical High $190.55 | Professional | 53 · Discontinued | $100.00 | $125.89 | $190.55 |
Where New York sits
The same service costs 3.5 times more in Minnesota 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
$170
MN $550UT $158
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.