How much rates vary
Facilitymedian $417 · 10th to 90th $35 to $977Professionalmedian $447 · 10th to 90th $363 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 $371.54 Median $524.81 Typical High $1,071.52 | Facility | None | $371.54 | $524.81 | $1,071.52 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $50.12 Median $64.57 Typical High $131.83 | Facility | 26 · Professional part | $50.12 | $64.57 | $131.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $323.59 Median $457.09 Typical High $1,122.02 | Facility | TC · Technical part | $323.59 | $457.09 | $1,122.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $602.56 | Professional | None (both parts) | $371.54 | $371.54 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $74.13 | Professional | 26 · Professional part | $50.12 | $50.12 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $323.59 Typical High $512.86 | Professional | TC · Technical part | $323.59 | $323.59 | $512.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $407.38 Median $457.09 Typical High $501.19 | Professional | None (both parts) | $407.38 | $457.09 | $501.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $398.11 Median $467.74 Typical High $524.81 | Professional | None (both parts) | $398.11 | $467.74 | $524.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $54.95 Typical High $66.07 | Professional | 26 · Professional part | $46.77 | $54.95 | $66.07 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $407.38 Typical High $467.74 | Professional | TC · Technical part | $346.74 | $407.38 | $467.74 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $81.28 Median $549.54 Typical High $630.96 | Professional | None (both parts) | $81.28 | $549.54 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $363.08 Typical High $2,238.72 | Facility | None | $204.17 | $363.08 | $2,238.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $363.08 Typical High $1,258.93 | Professional | None (both parts) | $346.74 | $363.08 | $1,258.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $43.65 Typical High $162.18 | Professional | 26 · Professional part | $41.69 | $43.65 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $323.59 Typical High $1,047.13 | Professional | TC · Technical part | $309.03 | $323.59 | $1,047.13 |
Emblem Health Setting Facility Modifier None Typical Low $60.26 Median $467.74 Typical High $1,698.24 | Facility | None | $60.26 | $467.74 | $1,698.24 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $407.38 Median $524.81 Typical High $870.96 | Professional | None (both parts) | $407.38 | $524.81 | $870.96 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $60.26 Typical High $104.71 | Professional | 26 · Professional part | $43.65 | $60.26 | $104.71 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $537.03 Typical High $758.58 | Professional | TC · Technical part | $436.52 | $537.03 | $758.58 |
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 $407.38 Typical High $478.63 | Professional | None (both parts) | $354.81 | $407.38 | $478.63 |
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 $316.23 Median $346.74 Typical High $416.87 | Professional | TC · Technical part | $316.23 | $346.74 | $416.87 |
Fidelis Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $57.54 | $57.54 | $57.54 |
Highmark BCBS Setting Facility Modifier None Typical Low $269.15 Median $575.44 Typical High $977.24 | Facility | None | $269.15 | $575.44 | $977.24 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $416.87 Median $478.63 Typical High $1,096.48 | Professional | None (both parts) | $416.87 | $478.63 | $1,096.48 |
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 $104.71 Median $104.71 Typical High $831.76 | Professional | None (both parts) | $104.71 | $104.71 | $831.76 |
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 $371.54 Median $501.19 Typical High $1,047.13 | Professional | TC · Technical part | $371.54 | $501.19 | $1,047.13 |
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 $346.74 Median $446.68 Typical High $1,148.15 | Professional | None (both parts) | $346.74 | $446.68 | $1,148.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $57.54 Typical High $154.88 | Professional | 26 · Professional part | $44.67 | $57.54 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $380.19 Typical High $1,047.13 | Professional | TC · Technical part | $302.00 | $380.19 | $1,047.13 |
Univera Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $602.56 | Facility | None | $35.48 | $35.48 | $602.56 |
Univera Setting Facility Modifier TC · Technical part Typical Low $21.38 Median $21.38 Typical High $416.87 | Facility | TC · Technical part | $21.38 | $21.38 | $416.87 |
Univera Setting Professional Modifier None (both parts) Typical Low $354.81 Median $407.38 Typical High $478.63 | Professional | None (both parts) | $354.81 | $407.38 | $478.63 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $50.12 Typical High $60.26 | Professional | 26 · Professional part | $43.65 | $50.12 | $60.26 |
Univera Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $363.08 Typical High $416.87 | Professional | TC · Technical part | $316.23 | $363.08 | $416.87 |
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 $186.21 Median $186.21 Typical High $245.47 | Professional | 52 · Reduced service | $186.21 | $186.21 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $97.72 | Professional | 53 · Discontinued | $74.13 | $74.13 | $97.72 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $288.40 Typical High $588.84 | Professional | 53 · Discontinued | $213.80 | $288.40 | $588.84 |
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
$447
AK $933NM $309
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.