How much rates vary
Facilitymedian $363 · 10th to 90th $35 to $933Professionalmedian $380 · 10th to 90th $316 to $550
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 $323.59 Median $416.87 Typical High $1,096.48 | Facility | None | $323.59 | $416.87 | $1,096.48 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $50.12 Median $60.26 Typical High $154.88 | Facility | 26 · Professional part | $50.12 | $60.26 | $154.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $275.42 Median $354.81 Typical High $933.25 | Facility | TC · Technical part | $275.42 | $354.81 | $933.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $524.81 | Professional | None (both parts) | $323.59 | $323.59 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $79.43 | Professional | 26 · Professional part | $50.12 | $50.12 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $275.42 Typical High $446.68 | Professional | TC · Technical part | $275.42 | $275.42 | $446.68 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $338.84 Median $398.11 Typical High $489.78 | Professional | None (both parts) | $338.84 | $398.11 | $489.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $338.84 Median $398.11 Typical High $457.09 | Professional | None (both parts) | $338.84 | $398.11 | $457.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $54.95 Typical High $67.61 | Professional | 26 · Professional part | $46.77 | $54.95 | $67.61 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $338.84 Typical High $389.05 | Professional | TC · Technical part | $288.40 | $338.84 | $389.05 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $81.28 Median $446.68 Typical High $524.81 | Professional | None (both parts) | $81.28 | $446.68 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $363.08 Typical High $1,862.09 | Facility | None | $204.17 | $363.08 | $1,862.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $309.03 Typical High $1,096.48 | Professional | None (both parts) | $295.12 | $309.03 | $1,096.48 |
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 $257.04 Median $269.15 Typical High $912.01 | Professional | TC · Technical part | $257.04 | $269.15 | $912.01 |
Emblem Health Setting Facility Modifier None Typical Low $54.95 Median $389.05 Typical High $1,412.54 | Facility | None | $54.95 | $389.05 | $1,412.54 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $346.74 Median $501.19 Typical High $741.31 | Professional | None (both parts) | $346.74 | $501.19 | $741.31 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $66.07 Typical High $104.71 | Professional | 26 · Professional part | $43.65 | $66.07 | $104.71 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $446.68 Typical High $645.65 | Professional | TC · Technical part | $426.58 | $446.68 | $645.65 |
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 $309.03 Median $338.84 Typical High $407.38 | Professional | None (both parts) | $309.03 | $338.84 | $407.38 |
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 $263.03 Median $288.40 Typical High $354.81 | Professional | TC · Technical part | $263.03 | $288.40 | $354.81 |
Fidelis Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $75.86 Typical High $75.86 | Professional | 26 · Professional part | $66.07 | $75.86 | $75.86 |
Highmark BCBS Setting Facility Modifier None Typical Low $234.42 Median $588.84 Typical High $1,000.00 | Facility | None | $234.42 | $588.84 | $1,000.00 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $389.05 Median $467.74 Typical High $912.01 | Professional | None (both parts) | $389.05 | $467.74 | $912.01 |
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 $134.90 Median $134.90 Typical High $724.44 | Professional | None (both parts) | $134.90 | $134.90 | $724.44 |
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 $302.00 Median $407.38 Typical High $891.25 | Professional | TC · Technical part | $302.00 | $407.38 | $891.25 |
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 $295.12 Median $371.54 Typical High $977.24 | Professional | None (both parts) | $295.12 | $371.54 | $977.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $56.23 Typical High $151.36 | Professional | 26 · Professional part | $44.67 | $56.23 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $323.59 Typical High $870.96 | Professional | TC · Technical part | $257.04 | $323.59 | $870.96 |
Univera Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $645.65 | Facility | None | $35.48 | $35.48 | $645.65 |
Univera Setting Facility Modifier TC · Technical part Typical Low $21.38 Median $21.38 Typical High $436.52 | Facility | TC · Technical part | $21.38 | $21.38 | $436.52 |
Univera Setting Professional Modifier None (both parts) Typical Low $309.03 Median $338.84 Typical High $407.38 | Professional | None (both parts) | $309.03 | $338.84 | $407.38 |
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 $263.03 Median $288.40 Typical High $354.81 | Professional | TC · Technical part | $263.03 | $288.40 | $354.81 |
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 $162.18 Median $162.18 Typical High $208.93 | Professional | 52 · Reduced service | $162.18 | $162.18 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $83.18 | Professional | 53 · Discontinued | $64.57 | $64.57 | $83.18 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $239.88 Typical High $512.86 | Professional | 53 · Discontinued | $181.97 | $239.88 | $512.86 |
Where New York sits
The same service costs 3.0 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· 35th of 51
$380
AK $794NM $269
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.