How much rates vary
Facilitymedian $759 · 10th to 90th $155 to $2,188Professionalmedian $537 · 10th to 90th $457 to $912
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 $426.58 Median $660.69 Typical High $1,659.59 | Facility | None | $426.58 | $660.69 | $1,659.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $512.86 Typical High $741.31 | Professional | None (both parts) | $512.86 | $512.86 | $741.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $194.98 Typical High $269.15 | Professional | 26 · Professional part | $194.98 | $194.98 | $269.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $309.03 Typical High $467.74 | Professional | TC · Technical part | $309.03 | $309.03 | $467.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $457.09 Median $537.03 Typical High $741.31 | Professional | None (both parts) | $457.09 | $537.03 | $741.31 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $208.93 Typical High $263.03 | Professional | 26 · Professional part | $177.83 | $208.93 | $263.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $323.59 Typical High $489.78 | Professional | TC · Technical part | $275.42 | $323.59 | $489.78 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $316.23 Median $524.81 Typical High $851.14 | Professional | None (both parts) | $316.23 | $524.81 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $1,288.25 Typical High $2,187.76 | Facility | None | $204.17 | $1,288.25 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $512.86 Typical High $1,778.28 | Professional | None (both parts) | $489.78 | $512.86 | $1,778.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $177.83 Typical High $630.96 | Professional | 26 · Professional part | $169.82 | $177.83 | $630.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $331.13 Typical High $1,148.15 | Professional | TC · Technical part | $316.23 | $331.13 | $1,148.15 |
Emblem Health Setting Facility Modifier None Typical Low $154.88 Median $616.60 Typical High $2,137.96 | Facility | None | $154.88 | $616.60 | $2,137.96 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $575.44 Median $912.01 Typical High $1,380.38 | Professional | None (both parts) | $575.44 | $912.01 | $1,380.38 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $263.03 Typical High $416.87 | Professional | 26 · Professional part | $177.83 | $263.03 | $416.87 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $676.08 Typical High $977.24 | Professional | TC · Technical part | $645.65 | $676.08 | $977.24 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $524.81 Median $691.83 Typical High $758.58 | Professional | None (both parts) | $524.81 | $691.83 | $758.58 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $199.53 Typical High $239.88 | Professional | 26 · Professional part | $177.83 | $199.53 | $239.88 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $457.09 Typical High $512.86 | Professional | TC · Technical part | $338.84 | $457.09 | $512.86 |
MVP Health Care Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $1,230.27 | Professional | None (both parts) | $478.63 | $478.63 | $1,230.27 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $302.00 Typical High $588.84 | Professional | 26 · Professional part | $234.42 | $302.00 | $588.84 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $467.74 Typical High $1,258.93 | Professional | TC · Technical part | $354.81 | $467.74 | $1,258.93 |
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 $501.19 Median $645.65 Typical High $1,621.81 | Professional | None (both parts) | $501.19 | $645.65 | $1,621.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $229.09 Typical High $616.60 | Professional | 26 · Professional part | $177.83 | $229.09 | $616.60 |
United Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $416.87 Typical High $1,000.00 | Professional | TC · Technical part | $309.03 | $416.87 | $1,000.00 |
Univera Setting Facility Modifier None Typical Low $660.69 Median $758.58 Typical High $2,238.72 | Facility | None | $660.69 | $758.58 | $2,238.72 |
Univera Setting Professional Modifier None (both parts) Typical Low $524.81 Median $616.60 Typical High $758.58 | Professional | None (both parts) | $524.81 | $616.60 | $758.58 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $194.98 Typical High $239.88 | Professional | 26 · Professional part | $177.83 | $194.98 | $239.88 |
Univera Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $436.52 Typical High $512.86 | Professional | TC · Technical part | $338.84 | $436.52 | $512.86 |
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 $251.19 Median $251.19 Typical High $346.74 | Professional | 52 · Reduced service | $251.19 | $251.19 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $138.04 | Professional | 53 · Discontinued | $102.33 | $102.33 | $138.04 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $389.05 Typical High $912.01 | Professional | 53 · Discontinued | $288.40 | $389.05 | $912.01 |
Where New York sits
The same service costs 3.2 times more in Alaska 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· 43rd of 51
$537
AK $1,445KY $447
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.