How much rates vary
Facilitymedian $129 · 10th to 90th $79 to $1,413Professionalmedian $115 · 10th to 90th $85 to $166
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 $109.65 Median $131.83 Typical High $257.04 | Facility | None | $109.65 | $131.83 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $117.49 Typical High $257.04 | Professional | None (both parts) | $102.33 | $117.49 | $257.04 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $100.00 Median $120.23 Typical High $131.83 | Professional | None (both parts) | $100.00 | $120.23 | $131.83 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $158.49 | $158.49 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $323.59 Typical High $776.25 | Facility | None | $147.91 | $323.59 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $95.50 Typical High $288.40 | Professional | None (both parts) | $81.28 | $95.50 | $288.40 |
Emblem Health Setting Facility Modifier None Typical Low $79.43 Median $102.33 Typical High $331.13 | Facility | None | $79.43 | $102.33 | $331.13 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $100.00 Median $102.33 Typical High $165.96 | Professional | None (both parts) | $100.00 | $102.33 | $165.96 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $72.44 Median $85.11 Typical High $134.90 | Professional | None (both parts) | $72.44 | $85.11 | $134.90 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $223.87 | Professional | None (both parts) | $95.50 | $95.50 | $223.87 |
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 $69.18 Median $109.65 Typical High $281.84 | Professional | None (both parts) | $69.18 | $109.65 | $281.84 |
Univera Setting Facility Modifier None Typical Low $100.00 Median $114.82 Typical High $398.11 | Facility | None | $100.00 | $114.82 | $398.11 |
Univera Setting Professional Modifier None (both parts) Typical Low $72.44 Median $85.11 Typical High $134.90 | Professional | None (both parts) | $72.44 | $85.11 | $134.90 |
8 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 $46.77 Median $46.77 Typical High $60.26 | Professional | 52 · Reduced service | $46.77 | $46.77 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $23.99 | Professional | 53 · Discontinued | $18.62 | $18.62 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $93.33 Typical High $102.33 | Professional | TC · Technical part | $93.33 | $93.33 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $173.78 Typical High $489.78 | Professional | TC · Technical part | $75.86 | $173.78 | $489.78 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $93.33 Typical High $109.65 | Professional | TC · Technical part | $69.18 | $93.33 | $109.65 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $72.44 Typical High $144.54 | Professional | 53 · Discontinued | $56.23 | $72.44 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $81.28 Typical High $100.00 | Professional | TC · Technical part | $70.79 | $81.28 | $100.00 |
Univera Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $93.33 Typical High $109.65 | Professional | TC · Technical part | $69.18 | $93.33 | $109.65 |
Where New York sits
The same service costs 3.2 times more in Alaska than in Florida. 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· 37th of 51
$115
AK $282FL $89.13
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.