How much rates vary
Facilitymedian $316 · 10th to 90th $68 to $794Professionalmedian $240 · 10th to 90th $186 to $447
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 $186.21 Median $281.84 Typical High $616.60 | Facility | None | $186.21 | $281.84 | $616.60 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $50.12 Median $58.88 Typical High $128.82 | Facility | 26 · Professional part | $50.12 | $58.88 | $128.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $134.90 Median $223.87 Typical High $489.78 | Facility | TC · Technical part | $134.90 | $223.87 | $489.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $199.53 Typical High $407.38 | Professional | None (both parts) | $186.21 | $199.53 | $407.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $100.00 | Professional | 26 · Professional part | $50.12 | $50.12 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $144.54 Typical High $323.59 | Professional | TC · Technical part | $134.90 | $144.54 | $323.59 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $173.78 Median $199.53 Typical High $263.03 | Professional | None (both parts) | $173.78 | $199.53 | $263.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $239.88 Typical High $389.05 | Professional | None (both parts) | $199.53 | $239.88 | $389.05 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $46.77 Typical High $79.43 | Professional | 26 · Professional part | $39.81 | $46.77 | $79.43 |
Anthem BCBS 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 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $79.43 Median $309.03 Typical High $389.05 | Professional | None (both parts) | $79.43 | $309.03 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $660.69 Typical High $870.96 | Facility | None | $407.38 | $660.69 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $338.84 Typical High $1,174.90 | Professional | None (both parts) | $204.17 | $338.84 | $1,174.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $51.29 Typical High $165.96 | Professional | 26 · Professional part | $40.74 | $51.29 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $234.42 Typical High $1,000.00 | Professional | TC · Technical part | $181.97 | $234.42 | $1,000.00 |
Emblem Health Setting Facility Modifier None Typical Low $165.96 Median $251.19 Typical High $812.83 | Facility | None | $165.96 | $251.19 | $812.83 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $457.09 | Professional | None (both parts) | $309.03 | $309.03 | $457.09 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $63.10 Typical High $363.08 | Professional | 26 · Professional part | $61.66 | $63.10 | $363.08 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $251.19 Typical High $371.54 | Professional | TC · Technical part | $251.19 | $251.19 | $371.54 |
Excellus BCBS Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | TC · Technical part | $40.74 | $40.74 | $40.74 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $208.93 Median $223.87 Typical High $371.54 | Professional | None (both parts) | $208.93 | $223.87 | $371.54 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $53.70 Typical High $79.43 | Professional | 26 · Professional part | $43.65 | $53.70 | $79.43 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $173.78 Typical High $295.12 | Professional | TC · Technical part | $144.54 | $173.78 | $295.12 |
Fidelis Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $70.79 Typical High $87.10 | Professional | 26 · Professional part | $53.70 | $70.79 | $87.10 |
Highmark BCBS Setting Facility Modifier None Typical Low $275.42 Median $407.38 Typical High $1,202.26 | Facility | None | $275.42 | $407.38 | $1,202.26 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $275.42 Median $478.63 Typical High $954.99 | Facility | TC · Technical part | $275.42 | $478.63 | $954.99 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $239.88 Median $363.08 Typical High $436.52 | Professional | None (both parts) | $239.88 | $363.08 | $436.52 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $75.86 Typical High $134.90 | Professional | 26 · Professional part | $69.18 | $75.86 | $134.90 |
MVP Health Care Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $691.83 | Professional | None (both parts) | $109.65 | $109.65 | $691.83 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $75.86 Typical High $109.65 | Professional | 26 · Professional part | $60.26 | $75.86 | $109.65 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $288.40 Typical High $426.58 | Professional | TC · Technical part | $223.87 | $288.40 | $426.58 |
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 $213.80 Median $281.84 Typical High $524.81 | Professional | None (both parts) | $213.80 | $281.84 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $56.23 Typical High $112.20 | Professional | 26 · Professional part | $42.66 | $56.23 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $223.87 Typical High $426.58 | Professional | TC · Technical part | $173.78 | $223.87 | $426.58 |
Univera Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $776.25 | Facility | None | $67.61 | $67.61 | $776.25 |
Univera Setting Facility Modifier TC · Technical part Typical Low $40.74 Median $40.74 Typical High $478.63 | Facility | TC · Technical part | $40.74 | $40.74 | $478.63 |
Univera Setting Professional Modifier None (both parts) Typical Low $208.93 Median $245.47 Typical High $371.54 | Professional | None (both parts) | $208.93 | $245.47 | $371.54 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $53.70 Typical High $79.43 | Professional | 26 · Professional part | $43.65 | $53.70 | $79.43 |
Univera Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $173.78 Typical High $295.12 | Professional | TC · Technical part | $144.54 | $173.78 | $295.12 |
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 $93.33 Median $93.33 Typical High $141.25 | Professional | 52 · Reduced service | $93.33 | $93.33 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $37.15 Typical High $56.23 | Professional | 53 · Discontinued | $37.15 | $37.15 | $56.23 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $346.74 Median $407.38 Typical High $407.38 | Professional | GL · Free upgrade | $346.74 | $407.38 | $407.38 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $177.83 Typical High $269.15 | Professional | 53 · Discontinued | $141.25 | $177.83 | $269.15 |
Where New York sits
The same service costs 3.3 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· 48th of 51
$240
MN $676UT $204
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.