How much rates vary
Facilitymedian $550 · 10th to 90th $18 to $4,169Professionalmedian $50 · 10th to 90th $33 to $95
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 $45.71 Median $57.54 Typical High $251.19 | Facility | None | $45.71 | $57.54 | $251.19 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $27.54 Median $35.48 Typical High $67.61 | Facility | 26 · Professional part | $27.54 | $35.48 | $67.61 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $18.62 Median $21.38 Typical High $56.23 | Facility | TC · Technical part | $18.62 | $21.38 | $56.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $57.54 Typical High $97.72 | Professional | None (both parts) | $45.71 | $57.54 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $35.48 Typical High $52.48 | Professional | 26 · Professional part | $27.54 | $35.48 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $21.88 Typical High $37.15 | Professional | TC · Technical part | $18.62 | $21.88 | $37.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $977.24 Median $1,949.84 Typical High $6,918.31 | Facility | None | $977.24 | $1,949.84 | $6,918.31 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $33.11 Median $47.86 Typical High $77.62 | Professional | None (both parts) | $33.11 | $47.86 | $77.62 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $31.62 Typical High $54.95 | Professional | 26 · Professional part | $26.92 | $31.62 | $54.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $20.89 Typical High $35.48 | Professional | TC · Technical part | $17.78 | $20.89 | $35.48 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $26.92 Median $41.69 Typical High $69.18 | Professional | None (both parts) | $26.92 | $41.69 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $29.51 Median $64.57 Typical High $758.58 | Facility | None | $29.51 | $64.57 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $63.10 Typical High $208.93 | Professional | None (both parts) | $56.23 | $63.10 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $38.90 Typical High $114.82 | Professional | 26 · Professional part | $33.88 | $38.90 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $24.55 Typical High $77.62 | Professional | TC · Technical part | $22.39 | $24.55 | $77.62 |
Emblem Health Setting Facility Modifier None Typical Low $10.23 Median $25.12 Typical High $83.18 | Facility | None | $10.23 | $25.12 | $83.18 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $56.23 Median $64.57 Typical High $112.20 | Professional | None (both parts) | $56.23 | $64.57 | $112.20 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $37.15 Typical High $66.07 | Professional | 26 · Professional part | $33.11 | $37.15 | $66.07 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $26.92 Typical High $46.77 | Professional | TC · Technical part | $25.12 | $26.92 | $46.77 |
Excellus BCBS Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $9.12 Median $9.12 Typical High $9.12 | Facility | TC · Technical part | $9.12 | $9.12 | $9.12 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $41.69 Median $47.86 Typical High $66.07 | Professional | None (both parts) | $41.69 | $47.86 | $66.07 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.84 Typical High $38.90 | Professional | 26 · Professional part | $24.55 | $28.84 | $38.90 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $19.95 Typical High $27.54 | Professional | TC · Technical part | $15.49 | $19.95 | $27.54 |
Highmark BCBS Setting Facility Modifier None Typical Low $63.10 Median $263.03 Typical High $602.56 | Facility | None | $63.10 | $263.03 | $602.56 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $117.49 | Professional | None (both parts) | $114.82 | $114.82 | $117.49 |
MVP Health Care Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $120.23 | Professional | None (both parts) | $44.67 | $44.67 | $120.23 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $39.81 Typical High $57.54 | Professional | 26 · Professional part | $29.51 | $39.81 | $57.54 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $25.12 Typical High $40.74 | Professional | TC · Technical part | $18.62 | $25.12 | $40.74 |
United Setting Facility Modifier None Typical Low $363.08 Median $1,148.15 Typical High $4,365.16 | Facility | None | $363.08 | $1,148.15 | $4,365.16 |
United Setting Professional Modifier None (both parts) Typical Low $40.74 Median $57.54 Typical High $123.03 | Professional | None (both parts) | $40.74 | $57.54 | $123.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $35.48 Typical High $75.86 | Professional | 26 · Professional part | $23.99 | $35.48 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $22.91 Typical High $46.77 | Professional | TC · Technical part | $15.85 | $22.91 | $46.77 |
Univera Setting Facility Modifier None Typical Low $15.14 Median $41.69 Typical High $79.43 | Facility | None | $15.14 | $41.69 | $79.43 |
Univera Setting Facility Modifier 26 · Professional part Typical Low $24.55 Median $28.84 Typical High $100.00 | Facility | 26 · Professional part | $24.55 | $28.84 | $100.00 |
Univera Setting Facility Modifier TC · Technical part Typical Low $9.12 Median $14.79 Typical High $23.44 | Facility | TC · Technical part | $9.12 | $14.79 | $23.44 |
Univera Setting Professional Modifier None (both parts) Typical Low $41.69 Median $47.86 Typical High $64.57 | Professional | None (both parts) | $41.69 | $47.86 | $64.57 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.84 Typical High $38.02 | Professional | 26 · Professional part | $24.55 | $28.84 | $38.02 |
Univera Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $19.50 Typical High $26.30 | Professional | TC · Technical part | $14.79 | $19.50 | $26.30 |
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 $22.91 Median $28.84 Typical High $28.84 | Professional | 52 · Reduced service | $22.91 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $11.48 Typical High $11.48 | Professional | 53 · Discontinued | $9.12 | $11.48 | $11.48 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $32.36 Typical High $48.98 | Professional | 53 · Discontinued | $23.99 | $32.36 | $48.98 |
Where New York sits
The same service costs 6.5 times more in Minnesota 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· 46th of 51
$50.12
MN $295KY $45.71
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.