How much rates vary
Facilitymedian $257 · 10th to 90th $69 to $933Professionalmedian $65 · 10th to 90th $32 to $251
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $112.20 Median $147.91 Typical High $346.74 | Facility | None | $112.20 | $147.91 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $309.03 | Professional | None (both parts) | $112.20 | $112.20 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $123.03 | Professional | 26 · Professional part | $44.67 | $44.67 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $181.97 | Professional | TC · Technical part | $67.61 | $67.61 | $181.97 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $30.90 Median $57.54 Typical High $77.62 | Professional | None (both parts) | $30.90 | $57.54 | $77.62 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $141.25 Typical High $190.55 | Professional | 26 · Professional part | $75.86 | $141.25 | $190.55 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $208.93 Typical High $309.03 | Professional | TC · Technical part | $173.78 | $208.93 | $309.03 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $173.78 Median $257.04 Typical High $426.58 | Professional | None (both parts) | $173.78 | $257.04 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $436.52 Typical High $524.81 | Facility | None | $257.04 | $436.52 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $354.81 Typical High $537.03 | Professional | None (both parts) | $346.74 | $354.81 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $141.25 Typical High $204.17 | Professional | 26 · Professional part | $128.82 | $141.25 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $338.84 | Professional | TC · Technical part | $213.80 | $213.80 | $338.84 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None (both parts) | $42.66 | $42.66 | $42.66 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | 26 · Professional part | $16.98 | $16.98 | $16.98 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $47.86 Median $67.61 Typical High $102.33 | Professional | None (both parts) | $47.86 | $67.61 | $102.33 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $17.38 Typical High $26.92 | Professional | 26 · Professional part | $14.79 | $17.38 | $26.92 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $181.97 Typical High $275.42 | Professional | TC · Technical part | $28.84 | $181.97 | $275.42 |
MVP Health Care Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
MVP Health Care 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 |
United Setting Facility Modifier None Typical Low $758.58 Median $870.96 Typical High $1,071.52 | Facility | None | $758.58 | $870.96 | $1,071.52 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $288.40 Typical High $436.52 | Professional | None (both parts) | $229.09 | $288.40 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $109.65 Typical High $162.18 | Professional | 26 · Professional part | $89.13 | $109.65 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $177.83 Typical High $257.04 | Professional | TC · Technical part | $144.54 | $177.83 | $257.04 |
Univera Setting Facility Modifier None Typical Low $69.18 Median $91.20 Typical High $275.42 | Facility | None | $69.18 | $91.20 | $275.42 |
Univera Setting Professional Modifier None (both parts) Typical Low $46.77 Median $61.66 Typical High $102.33 | Professional | None (both parts) | $46.77 | $61.66 | $102.33 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $17.38 Typical High $26.92 | Professional | 26 · Professional part | $14.79 | $17.38 | $26.92 |
Univera Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $162.18 Typical High $269.15 | Professional | TC · Technical part | $28.84 | $162.18 | $269.15 |
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 $56.23 Median $56.23 Typical High $151.36 | Professional | 52 · Reduced service | $56.23 | $56.23 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $61.66 | Professional | 53 · Discontinued | $22.39 | $22.39 | $61.66 |
Where New York sits
The same service costs 9.8 times more in Alaska than in New York. 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· 51st of 51
$64.57
AK $631NY $64.57
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.