How much rates vary
Facilitymedian $55 · 10th to 90th $34 to $145Professionalmedian $34 · 10th to 90th $28 to $52
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 $33.88 Median $50.12 Typical High $50.12 | Facility | None | $33.88 | $50.12 | $50.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $50.12 Typical High $50.12 | Professional | None (both parts) | $33.88 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $23.44 Typical High $23.44 | Professional | 26 · Professional part | $16.98 | $23.44 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $26.30 Typical High $26.30 | Professional | TC · Technical part | $16.60 | $26.30 | $26.30 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $20.42 Median $32.36 Typical High $38.02 | Professional | None (both parts) | $20.42 | $32.36 | $38.02 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.23 Typical High $14.45 | Professional | 26 · Professional part | $8.71 | $10.23 | $14.45 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $23.99 Typical High $33.88 | Professional | TC · Technical part | $20.42 | $23.99 | $33.88 |
CDPHP Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $6,165.95 | Facility | None | $2,089.30 | $2,089.30 | $6,165.95 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $28.84 Median $28.84 Typical High $57.54 | Professional | None (both parts) | $28.84 | $28.84 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $257.04 | $257.04 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | 26 · Professional part | $123.03 | $123.03 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | TC · Technical part | $131.83 | $131.83 | $131.83 |
Emblem Health Setting Facility Modifier None Typical Low $32.36 Median $54.95 Typical High $123.03 | Facility | None | $32.36 | $54.95 | $123.03 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $61.66 Median $64.57 Typical High $93.33 | Professional | None (both parts) | $61.66 | $64.57 | $93.33 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $26.30 Typical High $40.74 | Professional | 26 · Professional part | $25.70 | $26.30 | $40.74 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $37.15 Typical High $53.70 | Professional | TC · Technical part | $35.48 | $37.15 | $53.70 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $89.13 | Professional | None (both parts) | $50.12 | $50.12 | $89.13 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $38.90 | Professional | 26 · Professional part | $21.88 | $21.88 | $38.90 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $28.18 Typical High $48.98 | Professional | TC · Technical part | $28.18 | $28.18 | $48.98 |
United Setting Facility Modifier None Typical Low $57.54 Median $67.61 Typical High $83.18 | Facility | None | $57.54 | $67.61 | $83.18 |
United Setting Professional Modifier None (both parts) Typical Low $37.15 Median $52.48 Typical High $83.18 | Professional | None (both parts) | $37.15 | $52.48 | $83.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $23.99 Typical High $38.02 | Professional | 26 · Professional part | $16.98 | $23.99 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $28.18 Typical High $46.77 | Professional | TC · Technical part | $21.38 | $28.18 | $46.77 |
Univera Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Univera Setting Professional Modifier None (both parts) Typical Low $30.20 Median $50.12 Typical High $79.43 | Professional | None (both parts) | $30.20 | $50.12 | $79.43 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $21.88 Typical High $35.48 | Professional | 26 · Professional part | $13.18 | $21.88 | $35.48 |
Univera Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $28.18 Typical High $44.67 | Professional | TC · Technical part | $16.98 | $28.18 | $44.67 |
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 $16.60 Median $25.12 Typical High $25.12 | Professional | 52 · Reduced service | $16.60 | $25.12 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $10.00 Typical High $10.00 | Professional | 53 · Discontinued | $6.76 | $10.00 | $10.00 |
Where New York sits
The same service costs 4.2 times more in Nebraska than in Arkansas. 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· 50th of 51
$33.88
NE $105AR $25.12
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.