How much rates vary
Facilitymedian $5 · 10th to 90th $5 to $47Professionalmedian $15 · 10th to 90th $6 to $28
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 $0.02 Median $18.20 Typical High $70.79 | Facility | None | $0.02 | $18.20 | $70.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $18.20 Median $19.50 Typical High $19.50 | Professional | None (both parts) | $18.20 | $19.50 | $19.50 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $6.46 Median $9.12 Typical High $22.39 | Professional | None (both parts) | $6.46 | $9.12 | $22.39 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | None (both parts) | $16.22 | $16.22 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $51.29 | Facility | None | $50.12 | $50.12 | $51.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $14.45 Median $27.54 Typical High $114.82 | Professional | None (both parts) | $14.45 | $27.54 | $114.82 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | None (both parts) | $5.01 | $5.01 | $5.01 |
Excellus BCBS Setting Facility Modifier None Typical Low $5.01 Median $5.01 Typical High $5.01 | Facility | None | $5.01 | $5.01 | $5.01 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $5.01 Median $22.91 Typical High $25.12 | Professional | None (both parts) | $5.01 | $22.91 | $25.12 |
Highmark BCBS Setting Facility Modifier None Typical Low $5.50 Median $25.70 Typical High $181.97 | Facility | None | $5.50 | $25.70 | $181.97 |
MVP Health Care Setting Facility Modifier None Typical Low $6.46 Median $13.80 Typical High $257.04 | Facility | None | $6.46 | $13.80 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None (both parts) | $20.89 | $20.89 | $20.89 |
United Setting Professional Modifier None (both parts) Typical Low $9.77 Median $16.22 Typical High $37.15 | Professional | None (both parts) | $9.77 | $16.22 | $37.15 |
Univera Setting Facility Modifier None Typical Low $5.01 Median $5.01 Typical High $32.36 | Facility | None | $5.01 | $5.01 | $32.36 |
Univera Setting Professional Modifier None (both parts) Typical Low $5.01 Median $22.91 Typical High $25.70 | Professional | None (both parts) | $5.01 | $22.91 | $25.70 |
6 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 $9.12 Median $9.77 Typical High $9.77 | Professional | 52 · Reduced service | $9.12 | $9.77 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.89 Typical High $3.89 | Professional | 53 · Discontinued | $3.63 | $3.89 | $3.89 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $12.59 Typical High $14.79 | Professional | 26 · Professional part | $7.76 | $12.59 | $14.79 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $5.62 Median $26.30 Typical High $37.15 | Facility | TC · Technical part | $5.62 | $26.30 | $37.15 |
Fidelis Setting Professional Modifier 90 · Outside lab Typical Low $2.51 Median $2.51 Typical High $2.51 | Professional | 90 · Outside lab | $2.51 | $2.51 | $2.51 |
Univera Setting Professional Modifier TC · Technical part Typical Low $5.01 Median $22.39 Typical High $35.48 | Professional | TC · Technical part | $5.01 | $22.39 | $35.48 |
Where New York sits
The same service costs 15.5 times more in Alaska than in Georgia. 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· 35th of 51
$14.79
AK $100GA $6.46
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.