How much rates vary
Facilitymedian $288 · 10th to 90th $35 to $871Professionalmedian $302 · 10th to 90th $251 to $525
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 $309.03 Median $407.38 Typical High $977.24 | Facility | None | $309.03 | $407.38 | $977.24 |
Aetna 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 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $67.61 | Professional | 26 · Professional part | $50.12 | $50.12 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $263.03 Typical High $380.19 | Professional | TC · Technical part | $263.03 | $263.03 | $380.19 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $323.59 | $323.59 | $323.59 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $295.12 Typical High $416.87 | Professional | None (both parts) | $251.19 | $295.12 | $416.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $53.70 Typical High $67.61 | Professional | 26 · Professional part | $44.67 | $53.70 | $67.61 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $239.88 Typical High $346.74 | Professional | TC · Technical part | $204.17 | $239.88 | $346.74 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $81.28 Median $407.38 Typical High $489.78 | Professional | None (both parts) | $81.28 | $407.38 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $363.08 Typical High $1,621.81 | Facility | None | $204.17 | $363.08 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $281.84 Typical High $1,000.00 | Professional | None (both parts) | $269.15 | $281.84 | $1,000.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $43.65 Typical High $162.18 | Professional | 26 · Professional part | $40.74 | $43.65 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $257.04 Typical High $851.14 | Professional | TC · Technical part | $229.09 | $257.04 | $851.14 |
Emblem Health Setting Facility Modifier None Typical Low $89.13 Median $363.08 Typical High $1,288.25 | Facility | None | $89.13 | $363.08 | $1,288.25 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $316.23 Median $457.09 Typical High $691.83 | Professional | None (both parts) | $316.23 | $457.09 | $691.83 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $69.18 Typical High $107.15 | Professional | 26 · Professional part | $43.65 | $69.18 | $107.15 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $407.38 Typical High $588.84 | Professional | TC · Technical part | $389.05 | $407.38 | $588.84 |
Excellus BCBS Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | TC · Technical part | $21.38 | $21.38 | $21.38 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $275.42 Median $309.03 Typical High $371.54 | Professional | None (both parts) | $275.42 | $309.03 | $371.54 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $50.12 Typical High $60.26 | Professional | 26 · Professional part | $44.67 | $50.12 | $60.26 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $263.03 Typical High $309.03 | Professional | TC · Technical part | $229.09 | $263.03 | $309.03 |
Highmark BCBS Setting Facility Modifier None Typical Low $288.40 Median $457.09 Typical High $1,096.48 | Facility | None | $288.40 | $457.09 | $1,096.48 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $64.57 Typical High $114.82 | Professional | 26 · Professional part | $52.48 | $64.57 | $114.82 |
MVP Health Care Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $794.33 | Professional | None (both parts) | $151.36 | $151.36 | $794.33 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $75.86 Typical High $147.91 | Professional | 26 · Professional part | $58.88 | $75.86 | $147.91 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $363.08 Typical High $758.58 | Professional | TC · Technical part | $269.15 | $363.08 | $758.58 |
United Setting Facility Modifier None Typical Low $436.52 Median $501.19 Typical High $616.60 | Facility | None | $436.52 | $501.19 | $616.60 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $338.84 Typical High $891.25 | Professional | None (both parts) | $269.15 | $338.84 | $891.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $57.54 Typical High $151.36 | Professional | 26 · Professional part | $45.71 | $57.54 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $281.84 Typical High $758.58 | Professional | TC · Technical part | $234.42 | $281.84 | $758.58 |
Univera Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $691.83 | Facility | None | $35.48 | $35.48 | $691.83 |
Univera Setting Facility Modifier TC · Technical part Typical Low $21.38 Median $21.38 Typical High $467.74 | Facility | TC · Technical part | $21.38 | $21.38 | $467.74 |
Univera Setting Professional Modifier None (both parts) Typical Low $275.42 Median $309.03 Typical High $371.54 | Professional | None (both parts) | $275.42 | $309.03 | $371.54 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $47.86 Typical High $60.26 | Professional | 26 · Professional part | $43.65 | $47.86 | $60.26 |
Univera Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $263.03 Typical High $309.03 | Professional | TC · Technical part | $229.09 | $263.03 | $309.03 |
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 $154.88 Median $154.88 Typical High $204.17 | Professional | 52 · Reduced service | $154.88 | $154.88 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $81.28 | Professional | 53 · Discontinued | $61.66 | $61.66 | $81.28 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $218.78 Typical High $457.09 | Professional | 53 · Discontinued | $162.18 | $218.78 | $457.09 |
Where New York sits
The same service costs 3.2 times more in Alaska than in New Mexico. 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
$302
AK $776NM $240
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.