How much rates vary
Facilitymedian $74 · 10th to 90th $37 to $145Professionalmedian $46 · 10th to 90th $37 to $91
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 $41.69 Median $61.66 Typical High $61.66 | Facility | None | $41.69 | $61.66 | $61.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $61.66 Typical High $61.66 | Professional | None (both parts) | $41.69 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $25.12 | $35.48 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $26.30 Typical High $26.30 | Professional | TC · Technical part | $16.98 | $26.30 | $26.30 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $36.31 Median $42.66 Typical High $52.48 | Professional | None (both parts) | $36.31 | $42.66 | $52.48 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $12.88 Typical High $14.79 | Professional | 26 · Professional part | $10.96 | $12.88 | $14.79 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $30.20 Typical High $34.67 | Professional | TC · Technical part | $25.70 | $30.20 | $34.67 |
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 $42.66 Typical High $72.44 | Professional | None (both parts) | $28.84 | $42.66 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $354.81 Typical High $354.81 | Professional | None (both parts) | $69.18 | $354.81 | $354.81 |
Emblem Health Setting Facility Modifier None Typical Low $33.11 Median $52.48 Typical High $125.89 | Facility | None | $33.11 | $52.48 | $125.89 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $100.00 Typical High $165.96 | Professional | None (both parts) | $89.13 | $100.00 | $165.96 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $128.82 | Professional | None (both parts) | $74.13 | $74.13 | $128.82 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $79.43 | Professional | 26 · Professional part | $44.67 | $44.67 | $79.43 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $28.84 Typical High $51.29 | Professional | TC · Technical part | $28.84 | $28.84 | $51.29 |
United Setting Facility Modifier None Typical Low $75.86 Median $87.10 Typical High $107.15 | Facility | None | $75.86 | $87.10 | $107.15 |
United Setting Professional Modifier None (both parts) Typical Low $52.48 Median $70.79 Typical High $138.04 | Professional | None (both parts) | $52.48 | $70.79 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $41.69 Typical High $79.43 | Professional | 26 · Professional part | $30.90 | $41.69 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $28.84 Typical High $57.54 | Professional | TC · Technical part | $21.88 | $28.84 | $57.54 |
Univera Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Univera Setting Professional Modifier None (both parts) Typical Low $44.67 Median $74.13 Typical High $128.82 | Professional | None (both parts) | $44.67 | $74.13 | $128.82 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $44.67 Typical High $79.43 | Professional | 26 · Professional part | $26.92 | $44.67 | $79.43 |
Univera Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $28.84 Typical High $51.29 | Professional | TC · Technical part | $17.38 | $28.84 | $51.29 |
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 $20.89 Median $30.90 Typical High $30.90 | Professional | 52 · Reduced service | $20.89 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $12.30 Typical High $12.30 | Professional | 53 · Discontinued | $8.51 | $12.30 | $12.30 |
Where New York sits
The same service costs 14.8 times more in Texas 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
$45.71
TX $537AR $36.31
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.