How much rates vary
Facilitymedian $170 · 10th to 90th $93 to $1,175Professionalmedian $355 · 10th to 90th $295 to $562
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 $309.03 Median $389.05 Typical High $851.14 | Facility | None | $309.03 | $389.05 | $851.14 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $426.58 | Professional | None (both parts) | $309.03 | $309.03 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $53.70 | Professional | 26 · Professional part | $39.81 | $39.81 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $263.03 Typical High $371.54 | Professional | TC · Technical part | $263.03 | $263.03 | $371.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | 26 · Professional part | $46.77 | $46.77 | $46.77 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $323.59 Median $363.08 Typical High $478.63 | Professional | None (both parts) | $323.59 | $363.08 | $478.63 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $43.65 Typical High $52.48 | Professional | 26 · Professional part | $37.15 | $43.65 | $52.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $331.13 Typical High $398.11 | Professional | TC · Technical part | $281.84 | $331.13 | $398.11 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $64.57 Median $436.52 Typical High $501.19 | Professional | None (both parts) | $64.57 | $436.52 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $630.96 Typical High $1,819.70 | Facility | None | $323.59 | $630.96 | $1,819.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $295.12 Typical High $1,096.48 | Professional | None (both parts) | $281.84 | $295.12 | $1,096.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $34.67 Typical High $128.82 | Professional | 26 · Professional part | $33.11 | $34.67 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $263.03 Typical High $891.25 | Professional | TC · Technical part | $251.19 | $263.03 | $891.25 |
Emblem Health Setting Facility Modifier None Typical Low $138.04 Median $389.05 Typical High $1,412.54 | Facility | None | $138.04 | $389.05 | $1,412.54 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $331.13 Median $478.63 Typical High $724.44 | Professional | None (both parts) | $331.13 | $478.63 | $724.44 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $52.48 Typical High $83.18 | Professional | 26 · Professional part | $34.67 | $52.48 | $83.18 |
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 $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | TC · Technical part | $56.23 | $56.23 | $56.23 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $295.12 Median $323.59 Typical High $398.11 | Professional | None (both parts) | $295.12 | $323.59 | $398.11 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $38.02 Typical High $47.86 | Professional | 26 · Professional part | $36.31 | $38.02 | $47.86 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $288.40 Typical High $346.74 | Professional | TC · Technical part | $257.04 | $288.40 | $346.74 |
Fidelis Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $64.57 | Professional | 26 · Professional part | $54.95 | $54.95 | $64.57 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None (both parts) | $380.19 | $380.19 | $380.19 |
MVP Health Care Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $724.44 | Professional | None (both parts) | $194.98 | $194.98 | $724.44 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $60.26 Typical High $117.49 | Professional | 26 · Professional part | $47.86 | $60.26 | $117.49 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $398.11 Typical High $851.14 | Professional | TC · Technical part | $302.00 | $398.11 | $851.14 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $1,995.26 Typical High $2,454.71 | Facility | None | $1,737.80 | $1,995.26 | $2,454.71 |
United Setting Professional Modifier None (both parts) Typical Low $281.84 Median $354.81 Typical High $851.14 | Professional | None (both parts) | $281.84 | $354.81 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $45.71 Typical High $109.65 | Professional | 26 · Professional part | $35.48 | $45.71 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $316.23 Typical High $758.58 | Professional | TC · Technical part | $251.19 | $316.23 | $758.58 |
Univera Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $602.56 | Facility | None | $93.33 | $93.33 | $602.56 |
Univera Setting Facility Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $512.86 | Facility | TC · Technical part | $56.23 | $56.23 | $512.86 |
Univera Setting Professional Modifier None (both parts) Typical Low $295.12 Median $323.59 Typical High $398.11 | Professional | None (both parts) | $295.12 | $323.59 | $398.11 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $38.02 Typical High $47.86 | Professional | 26 · Professional part | $34.67 | $38.02 | $47.86 |
Univera Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $288.40 Typical High $346.74 | Professional | TC · Technical part | $257.04 | $288.40 | $346.74 |
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 $151.36 Median $151.36 Typical High $199.53 | Professional | 52 · Reduced service | $151.36 | $151.36 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $79.43 | Professional | 53 · Discontinued | $61.66 | $61.66 | $79.43 |
Highmark BCBS Setting Facility Modifier 59 · Distinct service Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | 59 · Distinct service | $1,995.26 | $1,995.26 | $1,995.26 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $234.42 Typical High $489.78 | Professional | 53 · Discontinued | $173.78 | $234.42 | $489.78 |
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· 39th of 51
$355
AK $813NM $275
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.