How much rates vary
Facilitymedian $141 · 10th to 90th $65 to $617Professionalmedian $93 · 10th to 90th $74 to $141
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 $91.20 Median $102.33 Typical High $114.82 | Facility | None | $91.20 | $102.33 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $109.65 | Professional | None (both parts) | $91.20 | $91.20 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $43.65 | Professional | 26 · Professional part | $33.88 | $33.88 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $69.18 | Professional | TC · Technical part | $57.54 | $57.54 | $69.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $56.23 Median $89.13 Typical High $104.71 | Professional | None (both parts) | $56.23 | $89.13 | $104.71 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $36.31 Typical High $43.65 | Professional | 26 · Professional part | $30.90 | $36.31 | $43.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $57.54 Typical High $63.10 | Professional | TC · Technical part | $48.98 | $57.54 | $63.10 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $56.23 Median $85.11 Typical High $141.25 | Professional | None (both parts) | $56.23 | $85.11 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $323.59 Typical High $426.58 | Facility | None | $158.49 | $323.59 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $83.18 Typical High $288.40 | Professional | None (both parts) | $77.62 | $83.18 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $30.90 Typical High $109.65 | Professional | 26 · Professional part | $28.18 | $30.90 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $52.48 Typical High $181.97 | Professional | TC · Technical part | $50.12 | $52.48 | $181.97 |
Emblem Health Setting Facility Modifier None Typical Low $64.57 Median $104.71 Typical High $346.74 | Facility | None | $64.57 | $104.71 | $346.74 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $95.50 Median $151.36 Typical High $245.47 | Professional | None (both parts) | $95.50 | $151.36 | $245.47 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $44.67 Typical High $70.79 | Professional | 26 · Professional part | $30.20 | $44.67 | $70.79 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $112.20 Typical High $165.96 | Professional | TC · Technical part | $107.15 | $112.20 | $165.96 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $100.00 Median $117.49 Typical High $141.25 | Professional | None (both parts) | $100.00 | $117.49 | $141.25 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $33.88 Typical High $40.74 | Professional | 26 · Professional part | $30.90 | $33.88 | $40.74 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $83.18 Typical High $102.33 | Professional | TC · Technical part | $69.18 | $83.18 | $102.33 |
MVP Health Care Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $93.33 | Professional | None (both parts) | $89.13 | $89.13 | $93.33 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $51.29 Typical High $102.33 | Professional | 26 · Professional part | $40.74 | $51.29 | $102.33 |
United Setting Facility Modifier None Typical Low $758.58 Median $870.96 Typical High $1,071.52 | Facility | None | $758.58 | $870.96 | $1,071.52 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $131.83 Typical High $338.84 | Professional | None (both parts) | $91.20 | $131.83 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.90 Typical High $104.71 | Professional | 26 · Professional part | $30.20 | $38.90 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $89.13 Typical High $234.42 | Professional | TC · Technical part | $64.57 | $89.13 | $234.42 |
Univera Setting Facility Modifier None Typical Low $125.89 Median $141.25 Typical High $426.58 | Facility | None | $125.89 | $141.25 | $426.58 |
Univera Setting Professional Modifier None (both parts) Typical Low $95.50 Median $112.20 Typical High $141.25 | Professional | None (both parts) | $95.50 | $112.20 | $141.25 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $32.36 Typical High $40.74 | Professional | 26 · Professional part | $30.20 | $32.36 | $40.74 |
Univera Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $81.28 Typical High $102.33 | Professional | TC · Technical part | $66.07 | $81.28 | $102.33 |
2 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 $45.71 Median $45.71 Typical High $54.95 | Professional | 52 · Reduced service | $45.71 | $45.71 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $21.88 | Professional | 53 · Discontinued | $18.20 | $18.20 | $21.88 |
Where New York sits
The same service costs 5.4 times more in Hawaii than in Kentucky. 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· 42nd of 51
$93.33
HI $309KY $57.54
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.