How much rates vary
Facilitymedian $105 · 10th to 90th $72 to $617Professionalmedian $229 · 10th to 90th $186 to $398
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 $229.09 Median $288.40 Typical High $1,071.52 | Facility | None | $229.09 | $288.40 | $1,071.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $426.58 | Professional | None (both parts) | $229.09 | $229.09 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $138.04 Typical High $234.42 | Professional | 26 · Professional part | $138.04 | $138.04 | $234.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $89.13 Typical High $147.91 | Professional | TC · Technical part | $89.13 | $89.13 | $147.91 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $234.42 Median $263.03 Typical High $288.40 | Professional | None (both parts) | $234.42 | $263.03 | $288.40 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $186.21 Median $218.78 Typical High $309.03 | Professional | None (both parts) | $186.21 | $218.78 | $309.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $131.83 Typical High $190.55 | Professional | 26 · Professional part | $112.20 | $131.83 | $190.55 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $87.10 Typical High $134.90 | Professional | TC · Technical part | $74.13 | $87.10 | $134.90 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $144.54 Median $223.87 Typical High $371.54 | Professional | None (both parts) | $144.54 | $223.87 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $416.87 Typical High $630.96 | Facility | None | $323.59 | $416.87 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $223.87 Typical High $776.25 | Professional | None (both parts) | $186.21 | $223.87 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $123.03 Typical High $446.68 | Professional | 26 · Professional part | $112.20 | $123.03 | $446.68 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $85.11 Typical High $295.12 | Professional | TC · Technical part | $75.86 | $85.11 | $295.12 |
Emblem Health Setting Facility Modifier None Typical Low $53.70 Median $109.65 Typical High $380.19 | Facility | None | $53.70 | $109.65 | $380.19 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $223.87 Median $302.00 Typical High $467.74 | Professional | None (both parts) | $223.87 | $302.00 | $467.74 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $186.21 Typical High $288.40 | Professional | 26 · Professional part | $120.23 | $186.21 | $288.40 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $120.23 Typical High $173.78 | Professional | TC · Technical part | $117.49 | $120.23 | $173.78 |
Excellus BCBS Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | TC · Technical part | $51.29 | $51.29 | $51.29 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $194.98 Median $213.80 Typical High $263.03 | Professional | None (both parts) | $194.98 | $213.80 | $263.03 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $138.04 Typical High $165.96 | Professional | 26 · Professional part | $125.89 | $138.04 | $165.96 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $81.28 Typical High $93.33 | Professional | TC · Technical part | $69.18 | $81.28 | $93.33 |
Highmark BCBS Setting Facility Modifier None Typical Low $251.19 Median $1,621.81 Typical High $6,760.83 | Facility | None | $251.19 | $1,621.81 | $6,760.83 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $263.03 Median $288.40 Typical High $602.56 | Professional | None (both parts) | $263.03 | $288.40 | $602.56 |
MVP Health Care Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $616.60 | Professional | None (both parts) | $263.03 | $263.03 | $616.60 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $208.93 Typical High $407.38 | Professional | 26 · Professional part | $162.18 | $208.93 | $407.38 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $134.90 Typical High $239.88 | Professional | TC · Technical part | $102.33 | $134.90 | $239.88 |
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 $204.17 Median $263.03 Typical High $676.08 | Professional | None (both parts) | $204.17 | $263.03 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $158.49 Typical High $416.87 | Professional | 26 · Professional part | $125.89 | $158.49 | $416.87 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $104.71 Typical High $281.84 | Professional | TC · Technical part | $81.28 | $104.71 | $281.84 |
Univera Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $457.09 | Facility | None | $85.11 | $85.11 | $457.09 |
Univera Setting Facility Modifier TC · Technical part Typical Low $51.29 Median $51.29 Typical High $177.83 | Facility | TC · Technical part | $51.29 | $51.29 | $177.83 |
Univera Setting Professional Modifier None (both parts) Typical Low $194.98 Median $213.80 Typical High $263.03 | Professional | None (both parts) | $194.98 | $213.80 | $263.03 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $131.83 Typical High $165.96 | Professional | 26 · Professional part | $120.23 | $131.83 | $165.96 |
Univera Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $81.28 Typical High $102.33 | Professional | TC · Technical part | $69.18 | $81.28 | $102.33 |
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 $112.20 Median $112.20 Typical High $144.54 | Professional | 52 · Reduced service | $112.20 | $112.20 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $57.54 | Professional | 53 · Discontinued | $45.71 | $45.71 | $57.54 |
Fidelis Setting Professional Modifier 59 · Distinct service Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | 59 · Distinct service | $234.42 | $234.42 | $234.42 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $169.82 Typical High $323.59 | Professional | 53 · Discontinued | $131.83 | $169.82 | $323.59 |
Where New York sits
The same service costs 3.3 times more in Alaska than in Texas. 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· 47th of 51
$229
AK $589TX $178
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.