How much rates vary
Facilitymedian $138 · 10th to 90th $36 to $437Professionalmedian $123 · 10th to 90th $98 to $219
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 $128.82 Median $162.18 Typical High $354.81 | Facility | None | $128.82 | $162.18 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $177.83 | Professional | None (both parts) | $128.82 | $128.82 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $102.33 | Professional | 26 · Professional part | $77.62 | $77.62 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $75.86 | Professional | TC · Technical part | $53.70 | $53.70 | $75.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $147.91 | Professional | None (both parts) | $141.25 | $141.25 | $147.91 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $91.20 Median $114.82 Typical High $173.78 | Professional | None (both parts) | $91.20 | $114.82 | $173.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $67.61 Typical High $102.33 | Professional | 26 · Professional part | $57.54 | $67.61 | $102.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $46.77 Typical High $79.43 | Professional | TC · Technical part | $39.81 | $46.77 | $79.43 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $91.20 Median $123.03 Typical High $213.80 | Professional | None (both parts) | $91.20 | $123.03 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $251.19 Typical High $380.19 | Facility | None | $190.55 | $251.19 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $128.82 Typical High $426.58 | Professional | None (both parts) | $114.82 | $128.82 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $69.18 Typical High $245.47 | Professional | 26 · Professional part | $63.10 | $69.18 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $53.70 Typical High $181.97 | Professional | TC · Technical part | $51.29 | $53.70 | $181.97 |
Emblem Health Setting Facility Modifier None Typical Low $32.36 Median $74.13 Typical High $263.03 | Facility | None | $32.36 | $74.13 | $263.03 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $134.90 Median $181.97 Typical High $281.84 | Professional | None (both parts) | $134.90 | $181.97 | $281.84 |
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 $81.28 Median $83.18 Typical High $120.23 | Professional | TC · Technical part | $81.28 | $83.18 | $120.23 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $128.82 Typical High $158.49 | Professional | None (both parts) | $117.49 | $128.82 | $158.49 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $72.44 Typical High $91.20 | Professional | 26 · Professional part | $69.18 | $72.44 | $91.20 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $54.95 Typical High $66.07 | Professional | TC · Technical part | $50.12 | $54.95 | $66.07 |
MVP Health Care Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $363.08 | Professional | None (both parts) | $138.04 | $138.04 | $363.08 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $114.82 Typical High $229.09 | Professional | 26 · Professional part | $91.20 | $114.82 | $229.09 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $81.28 Typical High $169.82 | Professional | TC · Technical part | $61.66 | $81.28 | $169.82 |
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 $123.03 Median $151.36 Typical High $389.05 | Professional | None (both parts) | $123.03 | $151.36 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $89.13 Typical High $234.42 | Professional | 26 · Professional part | $69.18 | $89.13 | $234.42 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $64.57 Typical High $173.78 | Professional | TC · Technical part | $52.48 | $64.57 | $173.78 |
Univera Setting Facility Modifier None Typical Low $138.04 Median $158.49 Typical High $323.59 | Facility | None | $138.04 | $158.49 | $323.59 |
Univera Setting Professional Modifier None (both parts) Typical Low $117.49 Median $128.82 Typical High $158.49 | Professional | None (both parts) | $117.49 | $128.82 | $158.49 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $72.44 Typical High $91.20 | Professional | 26 · Professional part | $66.07 | $72.44 | $91.20 |
Univera Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $54.95 Typical High $67.61 | Professional | TC · Technical part | $50.12 | $54.95 | $67.61 |
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 $64.57 Median $64.57 Typical High $81.28 | Professional | 52 · Reduced service | $64.57 | $64.57 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $32.36 | Professional | 53 · Discontinued | $26.30 | $26.30 | $32.36 |
Where New York sits
The same service costs 3.6 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· 49th of 51
$123
AK $380TX $105
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.