How much rates vary
Facilitymedian $117 · 10th to 90th $59 to $288Professionalmedian $110 · 10th to 90th $89 to $240
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 $104.71 Median $213.80 Typical High $501.19 | Facility | None | $104.71 | $213.80 | $501.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $213.80 | Professional | None (both parts) | $104.71 | $104.71 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $85.11 | Professional | 26 · Professional part | $52.48 | $52.48 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $131.83 | Professional | TC · Technical part | $53.70 | $53.70 | $131.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $89.13 Median $104.71 Typical High $165.96 | Professional | None (both parts) | $89.13 | $104.71 | $165.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $51.29 Typical High $77.62 | Professional | 26 · Professional part | $43.65 | $51.29 | $77.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $53.70 Typical High $87.10 | Professional | TC · Technical part | $45.71 | $53.70 | $87.10 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $169.82 | Professional | None (both parts) | $85.11 | $85.11 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $181.97 Typical High $234.42 | Facility | None | $147.91 | $181.97 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $147.91 Typical High $489.78 | Professional | None (both parts) | $85.11 | $147.91 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $48.98 Typical High $154.88 | Professional | 26 · Professional part | $41.69 | $48.98 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $69.18 Typical High $331.13 | Professional | TC · Technical part | $46.77 | $69.18 | $331.13 |
Emblem Health Setting Facility Modifier None Typical Low $48.98 Median $75.86 Typical High $239.88 | Facility | None | $48.98 | $75.86 | $239.88 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $141.25 Median $144.54 Typical High $213.80 | Professional | None (both parts) | $141.25 | $144.54 | $213.80 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $181.97 | Professional | 26 · Professional part | $69.18 | $69.18 | $181.97 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $109.65 | Professional | TC · Technical part | $74.13 | $74.13 | $109.65 |
Excellus BCBS Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | TC · Technical part | $35.48 | $35.48 | $35.48 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $97.72 Median $117.49 Typical High $165.96 | Professional | None (both parts) | $97.72 | $117.49 | $165.96 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $51.29 Typical High $85.11 | Professional | 26 · Professional part | $47.86 | $51.29 | $85.11 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $57.54 Typical High $93.33 | Professional | TC · Technical part | $47.86 | $57.54 | $93.33 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $501.19 | Facility | TC · Technical part | $72.44 | $72.44 | $501.19 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $251.19 | $251.19 | $251.19 |
MVP Health Care Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $181.97 Median $239.88 Typical High $295.12 | Professional | None (both parts) | $181.97 | $239.88 | $295.12 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $79.43 Typical High $120.23 | Professional | 26 · Professional part | $64.57 | $79.43 | $120.23 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $79.43 Typical High $117.49 | Professional | TC · Technical part | $61.66 | $79.43 | $117.49 |
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 $95.50 Median $120.23 Typical High $251.19 | Professional | None (both parts) | $95.50 | $120.23 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $58.88 Typical High $109.65 | Professional | 26 · Professional part | $46.77 | $58.88 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $61.66 Typical High $123.03 | Professional | TC · Technical part | $48.98 | $61.66 | $123.03 |
Univera Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $371.54 | Facility | None | $58.88 | $58.88 | $371.54 |
Univera Setting Facility Modifier TC · Technical part Typical Low $35.48 Median $35.48 Typical High $181.97 | Facility | TC · Technical part | $35.48 | $35.48 | $181.97 |
Univera Setting Professional Modifier None (both parts) Typical Low $97.72 Median $117.49 Typical High $158.49 | Professional | None (both parts) | $97.72 | $117.49 | $158.49 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $51.29 Typical High $81.28 | Professional | 26 · Professional part | $47.86 | $51.29 | $81.28 |
Univera Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $57.54 Typical High $95.50 | Professional | TC · Technical part | $47.86 | $57.54 | $95.50 |
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 $52.48 Median $52.48 Typical High $69.18 | Professional | 52 · Reduced service | $52.48 | $52.48 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $27.54 | Professional | 53 · Discontinued | $21.38 | $21.38 | $27.54 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $158.49 Median $186.21 Typical High $186.21 | Professional | GL · Free upgrade | $158.49 | $186.21 | $186.21 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $79.43 Typical High $120.23 | Professional | 53 · Discontinued | $63.10 | $79.43 | $120.23 |
Where New York sits
The same service costs 4.6 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· 48th of 51
$110
AK $316UT $69.18
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.