How much rates vary
Facilitymedian $62 · 10th to 90th $29 to $186Professionalmedian $63 · 10th to 90th $38 to $158
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 $44.67 Median $54.95 Typical High $186.21 | Facility | None | $44.67 | $54.95 | $186.21 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $17.38 Median $22.91 Typical High $74.13 | Facility | 26 · Professional part | $17.38 | $22.91 | $74.13 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $27.54 Median $32.36 Typical High $112.20 | Facility | TC · Technical part | $27.54 | $32.36 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $47.86 Typical High $128.82 | Professional | None (both parts) | $44.67 | $47.86 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $18.62 Typical High $54.95 | Professional | 26 · Professional part | $17.38 | $18.62 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $28.84 Typical High $77.62 | Professional | TC · Technical part | $27.54 | $28.84 | $77.62 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $40.74 Median $87.10 Typical High $186.21 | Professional | None (both parts) | $40.74 | $87.10 | $186.21 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $35.48 Typical High $85.11 | Professional | 26 · Professional part | $22.39 | $35.48 | $85.11 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $53.70 Typical High $112.20 | Professional | TC · Technical part | $18.62 | $53.70 | $112.20 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $38.90 Median $54.95 Typical High $93.33 | Professional | None (both parts) | $38.90 | $54.95 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $102.33 Typical High $407.38 | Facility | None | $48.98 | $102.33 | $407.38 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $14.45 Median $67.61 Typical High $97.72 | Facility | 26 · Professional part | $14.45 | $67.61 | $97.72 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $11.48 Median $53.70 Typical High $75.86 | Facility | TC · Technical part | $11.48 | $53.70 | $75.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $134.90 Typical High $208.93 | Professional | None (both parts) | $40.74 | $134.90 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $36.31 Typical High $190.55 | Professional | 26 · Professional part | $15.85 | $36.31 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $51.29 Typical High $169.82 | Professional | TC · Technical part | $24.55 | $51.29 | $169.82 |
Emblem Health Setting Facility Modifier None Typical Low $11.48 Median $46.77 Typical High $107.15 | Facility | None | $11.48 | $46.77 | $107.15 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $41.69 Median $64.57 Typical High $97.72 | Professional | None (both parts) | $41.69 | $64.57 | $97.72 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $26.30 Typical High $102.33 | Professional | 26 · Professional part | $19.50 | $26.30 | $102.33 |
Excellus BCBS Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $37.15 Median $72.44 Typical High $93.33 | Professional | None (both parts) | $37.15 | $72.44 | $93.33 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $32.36 Typical High $38.02 | Professional | 26 · Professional part | $21.38 | $32.36 | $38.02 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $47.86 Typical High $56.23 | Professional | TC · Technical part | $32.36 | $47.86 | $56.23 |
Fidelis Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $26.30 Typical High $26.30 | Professional | 26 · Professional part | $24.55 | $26.30 | $26.30 |
Highmark BCBS Setting Facility Modifier None Typical Low $42.66 Median $134.90 Typical High $288.40 | Facility | None | $42.66 | $134.90 | $288.40 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $33.88 Typical High $57.54 | Professional | 26 · Professional part | $18.62 | $33.88 | $57.54 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $63.10 Typical High $257.04 | Facility | None | $13.80 | $63.10 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $53.70 Median $123.03 Typical High $162.18 | Professional | None (both parts) | $53.70 | $123.03 | $162.18 |
United Setting Facility Modifier None Typical Low $104.71 Median $123.03 Typical High $151.36 | Facility | None | $104.71 | $123.03 | $151.36 |
United Setting Professional Modifier None (both parts) Typical Low $33.88 Median $43.65 Typical High $112.20 | Professional | None (both parts) | $33.88 | $43.65 | $112.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $17.78 Typical High $47.86 | Professional | 26 · Professional part | $12.88 | $17.78 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $25.70 Typical High $63.10 | Professional | TC · Technical part | $20.89 | $25.70 | $63.10 |
Univera Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $190.55 | Facility | None | $28.84 | $28.84 | $190.55 |
Univera Setting Professional Modifier None (both parts) Typical Low $37.15 Median $63.10 Typical High $93.33 | Professional | None (both parts) | $37.15 | $63.10 | $93.33 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $32.36 Typical High $38.02 | Professional | 26 · Professional part | $14.79 | $32.36 | $38.02 |
Univera Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $43.65 Typical High $56.23 | Professional | TC · Technical part | $22.39 | $43.65 | $56.23 |
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 $22.39 Median $22.39 Typical High $30.90 | Professional | 52 · Reduced service | $22.39 | $22.39 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $8.91 Typical High $12.30 | Professional | 53 · Discontinued | $8.91 | $8.91 | $12.30 |
Ambetter Setting Professional Modifier XS · Separate structure Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | XS · Separate structure | $61.66 | $61.66 | $61.66 |
Where New York sits
The same service costs 3.6 times more in Wisconsin than in Alabama. 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· 40th of 51
$63.10
WI $155AL $42.66
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.