How much rates vary
Facilitymedian $209 · 10th to 90th $35 to $1,047Professionalmedian $427 · 10th to 90th $355 to $646
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 $380.19 Median $446.68 Typical High $1,230.27 | Facility | None | $380.19 | $446.68 | $1,230.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $588.84 | Professional | None (both parts) | $380.19 | $380.19 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $112.20 | Professional | 26 · Professional part | $79.43 | $79.43 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $295.12 Typical High $467.74 | Professional | TC · Technical part | $295.12 | $295.12 | $467.74 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $457.09 Median $457.09 Typical High $467.74 | Professional | None (both parts) | $457.09 | $457.09 | $467.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $380.19 Median $446.68 Typical High $524.81 | Professional | None (both parts) | $380.19 | $446.68 | $524.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $85.11 Typical High $102.33 | Professional | 26 · Professional part | $70.79 | $85.11 | $102.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $354.81 Typical High $416.87 | Professional | TC · Technical part | $302.00 | $354.81 | $416.87 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $123.03 Median $478.63 Typical High $602.56 | Professional | None (both parts) | $123.03 | $478.63 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $363.08 Typical High $1,949.84 | Facility | None | $204.17 | $363.08 | $1,949.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $346.74 Typical High $1,258.93 | Professional | None (both parts) | $331.13 | $346.74 | $1,258.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $70.79 Typical High $245.47 | Professional | 26 · Professional part | $63.10 | $70.79 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $309.03 Typical High $1,023.29 | Professional | TC · Technical part | $269.15 | $309.03 | $1,023.29 |
Emblem Health Setting Facility Modifier None Typical Low $102.33 Median $426.58 Typical High $1,548.82 | Facility | None | $102.33 | $426.58 | $1,548.82 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $389.05 Median $575.44 Typical High $870.96 | Professional | None (both parts) | $389.05 | $575.44 | $870.96 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $102.33 Typical High $162.18 | Professional | 26 · Professional part | $66.07 | $102.33 | $162.18 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $489.78 Typical High $707.95 | Professional | TC · Technical part | $467.74 | $489.78 | $707.95 |
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 $354.81 Median $389.05 Typical High $467.74 | Professional | None (both parts) | $354.81 | $389.05 | $467.74 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $74.13 Typical High $91.20 | Professional | 26 · Professional part | $67.61 | $74.13 | $91.20 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $316.23 Typical High $380.19 | Professional | TC · Technical part | $281.84 | $316.23 | $380.19 |
Highmark BCBS Setting Facility Modifier None Typical Low $323.59 Median $398.11 Typical High $691.83 | Facility | None | $323.59 | $398.11 | $691.83 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $102.33 Typical High $181.97 | Professional | 26 · Professional part | $102.33 | $102.33 | $181.97 |
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 $173.78 Median $173.78 Typical High $933.25 | Professional | None (both parts) | $173.78 | $173.78 | $933.25 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $114.82 Typical High $223.87 | Professional | 26 · Professional part | $89.13 | $114.82 | $223.87 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $426.58 Typical High $933.25 | Professional | TC · Technical part | $316.23 | $426.58 | $933.25 |
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 $338.84 Median $416.87 Typical High $1,096.48 | Professional | None (both parts) | $338.84 | $416.87 | $1,096.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $87.10 Typical High $234.42 | Professional | 26 · Professional part | $69.18 | $87.10 | $234.42 |
United Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $338.84 Typical High $912.01 | Professional | TC · Technical part | $275.42 | $338.84 | $912.01 |
Univera Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $776.25 | Facility | None | $35.48 | $35.48 | $776.25 |
Univera Setting Facility Modifier TC · Technical part Typical Low $21.38 Median $21.38 Typical High $489.78 | Facility | TC · Technical part | $21.38 | $21.38 | $489.78 |
Univera Setting Professional Modifier None (both parts) Typical Low $354.81 Median $389.05 Typical High $467.74 | Professional | None (both parts) | $354.81 | $389.05 | $467.74 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $74.13 Typical High $91.20 | Professional | 26 · Professional part | $66.07 | $74.13 | $91.20 |
Univera Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $323.59 Typical High $380.19 | Professional | TC · Technical part | $281.84 | $323.59 | $380.19 |
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 $186.21 Median $186.21 Typical High $251.19 | Professional | 52 · Reduced service | $186.21 | $186.21 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $100.00 | Professional | 53 · Discontinued | $75.86 | $75.86 | $100.00 |
Fidelis Setting Professional Modifier 59 · Distinct service Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | 59 · Distinct service | $407.38 | $407.38 | $407.38 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $269.15 Typical High $575.44 | Professional | 53 · Discontinued | $204.17 | $269.15 | $575.44 |
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· 38th of 51
$427
AK $977NM $302
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.