How much rates vary
Facilitymedian $1,380 · 10th to 90th $155 to $4,169Professionalmedian $479 · 10th to 90th $380 to $933
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 $741.31 Median $3,388.44 Typical High $7,413.10 | Facility | None | $741.31 | $3,388.44 | $7,413.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $776.25 | Professional | None (both parts) | $562.34 | $562.34 | $776.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $107.15 | Professional | 26 · Professional part | $75.86 | $75.86 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $489.78 Typical High $676.08 | Professional | TC · Technical part | $489.78 | $489.78 | $676.08 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $380.19 Median $446.68 Typical High $776.25 | Professional | None (both parts) | $380.19 | $446.68 | $776.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $57.54 Typical High $100.00 | Professional | 26 · Professional part | $48.98 | $57.54 | $100.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $389.05 Typical High $660.69 | Professional | TC · Technical part | $331.13 | $389.05 | $660.69 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $123.03 Median $794.33 Typical High $933.25 | Professional | None (both parts) | $123.03 | $794.33 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $954.99 Typical High $1,698.24 | Facility | None | $812.83 | $954.99 | $1,698.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $524.81 Median $549.54 Typical High $1,659.59 | Professional | None (both parts) | $524.81 | $549.54 | $1,659.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $66.07 Typical High $245.47 | Professional | 26 · Professional part | $63.10 | $66.07 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $478.63 Typical High $1,412.54 | Professional | TC · Technical part | $457.09 | $478.63 | $1,412.54 |
Emblem Health Setting Facility Modifier None Typical Low $141.25 Median $524.81 Typical High $1,819.70 | Facility | None | $141.25 | $524.81 | $1,819.70 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $602.56 Median $616.60 Typical High $912.01 | Professional | None (both parts) | $602.56 | $616.60 | $912.01 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $97.72 Typical High $151.36 | Professional | 26 · Professional part | $95.50 | $97.72 | $151.36 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $537.03 Typical High $776.25 | Professional | TC · Technical part | $524.81 | $537.03 | $776.25 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $389.05 Median $501.19 Typical High $602.56 | Professional | None (both parts) | $389.05 | $501.19 | $602.56 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $85.11 Typical High $102.33 | Professional | 26 · Professional part | $66.07 | $85.11 | $102.33 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $416.87 Typical High $501.19 | Professional | TC · Technical part | $323.59 | $416.87 | $501.19 |
MVP Health Care Setting Facility Modifier None Typical Low $1,318.26 Median $3,801.89 Typical High $4,265.80 | Facility | None | $1,318.26 | $3,801.89 | $4,265.80 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $1,479.11 | Professional | None (both parts) | $478.63 | $478.63 | $1,479.11 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $112.20 Typical High $218.78 | Professional | 26 · Professional part | $89.13 | $112.20 | $218.78 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $741.31 Typical High $1,122.02 | Professional | TC · Technical part | $562.34 | $741.31 | $1,122.02 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $1,995.26 Typical High $2,454.71 | Facility | None | $1,737.80 | $1,995.26 | $2,454.71 |
United Setting Professional Modifier None (both parts) Typical Low $426.58 Median $660.69 Typical High $1,659.59 | Professional | None (both parts) | $426.58 | $660.69 | $1,659.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $87.10 Typical High $229.09 | Professional | 26 · Professional part | $64.57 | $87.10 | $229.09 |
United Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $575.44 Typical High $1,412.54 | Professional | TC · Technical part | $363.08 | $575.44 | $1,412.54 |
Univera Setting Facility Modifier None Typical Low $457.09 Median $524.81 Typical High $2,137.96 | Facility | None | $457.09 | $524.81 | $2,137.96 |
Univera Setting Professional Modifier None (both parts) Typical Low $389.05 Median $501.19 Typical High $602.56 | Professional | None (both parts) | $389.05 | $501.19 | $602.56 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $85.11 Typical High $102.33 | Professional | 26 · Professional part | $66.07 | $85.11 | $102.33 |
Univera Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $416.87 Typical High $512.86 | Professional | TC · Technical part | $323.59 | $416.87 | $512.86 |
3 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 $281.84 Median $281.84 Typical High $380.19 | Professional | 52 · Reduced service | $281.84 | $281.84 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $154.88 | Professional | 53 · Discontinued | $112.20 | $112.20 | $154.88 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $416.87 Typical High $691.83 | Professional | 53 · Discontinued | $323.59 | $416.87 | $691.83 |
Where New York sits
The same service costs 3.3 times more in Alaska than in Texas. 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
$479
AK $1,288TX $389
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.