How much rates vary
Facilitymedian $263 · 10th to 90th $74 to $794Professionalmedian $245 · 10th to 90th $204 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 $245.47 Median $263.03 Typical High $1,148.15 | Facility | None | $245.47 | $263.03 | $1,148.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $309.03 | Professional | None (both parts) | $245.47 | $245.47 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $45.71 | Professional | 26 · Professional part | $34.67 | $34.67 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $208.93 Typical High $269.15 | Professional | TC · Technical part | $208.93 | $208.93 | $269.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $245.47 | $245.47 | $245.47 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $213.80 Median $251.19 Typical High $331.13 | Professional | None (both parts) | $213.80 | $251.19 | $331.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $36.31 Typical High $46.77 | Professional | 26 · Professional part | $30.90 | $36.31 | $46.77 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $218.78 Typical High $269.15 | Professional | TC · Technical part | $181.97 | $218.78 | $269.15 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $53.70 Median $316.23 Typical High $371.54 | Professional | None (both parts) | $53.70 | $316.23 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $676.08 Typical High $812.83 | Facility | None | $389.05 | $676.08 | $812.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $229.09 Typical High $691.83 | Professional | None (both parts) | $194.98 | $229.09 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $33.11 Typical High $97.72 | Professional | 26 · Professional part | $29.51 | $33.11 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $194.98 Typical High $602.56 | Professional | TC · Technical part | $165.96 | $194.98 | $602.56 |
Emblem Health Setting Facility Modifier None Typical Low $169.82 Median $251.19 Typical High $831.76 | Facility | None | $169.82 | $251.19 | $831.76 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $295.12 Median $302.00 Typical High $446.68 | Professional | None (both parts) | $295.12 | $302.00 | $446.68 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $66.07 | Professional | 26 · Professional part | $43.65 | $43.65 | $66.07 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $380.19 | Professional | TC · Technical part | $257.04 | $257.04 | $380.19 |
Excellus BCBS Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $43.65 Median $43.65 Typical High $43.65 | Facility | TC · Technical part | $43.65 | $43.65 | $43.65 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $229.09 Typical High $346.74 | Professional | None (both parts) | $199.53 | $229.09 | $346.74 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $32.36 Typical High $53.70 | Professional | 26 · Professional part | $30.20 | $32.36 | $53.70 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $199.53 Typical High $295.12 | Professional | TC · Technical part | $169.82 | $199.53 | $295.12 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $416.87 Median $467.74 Typical High $758.58 | Facility | TC · Technical part | $416.87 | $467.74 | $758.58 |
MVP Health Care Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $645.65 | Professional | None (both parts) | $239.88 | $239.88 | $645.65 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $51.29 Typical High $74.13 | Professional | 26 · Professional part | $39.81 | $51.29 | $74.13 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $295.12 Typical High $416.87 | Professional | TC · Technical part | $229.09 | $295.12 | $416.87 |
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 $208.93 Median $269.15 Typical High $489.78 | Professional | None (both parts) | $208.93 | $269.15 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $38.90 Typical High $70.79 | Professional | 26 · Professional part | $29.51 | $38.90 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $229.09 Typical High $426.58 | Professional | TC · Technical part | $177.83 | $229.09 | $426.58 |
Univera Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $346.74 | Facility | None | $74.13 | $74.13 | $346.74 |
Univera Setting Facility Modifier TC · Technical part Typical Low $43.65 Median $43.65 Typical High $295.12 | Facility | TC · Technical part | $43.65 | $43.65 | $295.12 |
Univera Setting Professional Modifier None (both parts) Typical Low $199.53 Median $229.09 Typical High $346.74 | Professional | None (both parts) | $199.53 | $229.09 | $346.74 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $32.36 Typical High $53.70 | Professional | 26 · Professional part | $30.20 | $32.36 | $53.70 |
Univera Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $199.53 Typical High $295.12 | Professional | TC · Technical part | $169.82 | $199.53 | $295.12 |
2 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 $123.03 Median $123.03 Typical High $147.91 | Professional | 52 · Reduced service | $123.03 | $123.03 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $58.88 | Professional | 53 · Discontinued | $48.98 | $48.98 | $58.88 |
Where New York sits
The same service costs 3.1 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· 45th of 51
$245
AK $631UT $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.