How much rates vary
Facilitymedian $95 · 10th to 90th $13 to $269Professionalmedian $79 · 10th to 90th $19 to $219
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 $61.66 Median $93.33 Typical High $263.03 | Facility | None | $61.66 | $93.33 | $263.03 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $16.98 Median $21.88 Typical High $70.79 | Facility | 26 · Professional part | $16.98 | $21.88 | $70.79 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $44.67 Median $70.79 Typical High $245.47 | Facility | TC · Technical part | $44.67 | $70.79 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $66.07 Typical High $194.98 | Professional | None (both parts) | $61.66 | $66.07 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $17.78 Typical High $46.77 | Professional | 26 · Professional part | $16.98 | $17.78 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $47.86 Typical High $162.18 | Professional | TC · Technical part | $44.67 | $47.86 | $162.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $102.33 | $102.33 | $102.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $39.81 Median $134.90 Typical High $269.15 | Professional | None (both parts) | $39.81 | $134.90 | $269.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $34.67 Typical High $67.61 | Professional | 26 · Professional part | $11.22 | $34.67 | $67.61 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $104.71 Typical High $199.53 | Professional | TC · Technical part | $28.18 | $104.71 | $199.53 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $38.02 Median $117.49 Typical High $154.88 | Professional | None (both parts) | $38.02 | $117.49 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $223.87 Typical High $407.38 | Facility | None | $109.65 | $223.87 | $407.38 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $6.92 Median $31.62 Typical High $45.71 | Facility | 26 · Professional part | $6.92 | $31.62 | $45.71 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $20.42 Median $95.50 Typical High $134.90 | Facility | TC · Technical part | $20.42 | $95.50 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $64.57 Typical High $263.03 | Professional | None (both parts) | $33.11 | $64.57 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $30.90 Typical High $91.20 | Professional | 26 · Professional part | $14.79 | $30.90 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $91.20 Typical High $302.00 | Professional | TC · Technical part | $42.66 | $91.20 | $302.00 |
Emblem Health Setting Facility Modifier None Typical Low $7.59 Median $95.50 Typical High $229.09 | Facility | None | $7.59 | $95.50 | $229.09 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $70.79 Median $107.15 Typical High $165.96 | Professional | None (both parts) | $70.79 | $107.15 | $165.96 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $25.70 Typical High $48.98 | Professional | 26 · Professional part | $18.62 | $25.70 | $48.98 |
Excellus BCBS Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $13.18 | Facility | None | $13.18 | $13.18 | $13.18 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $43.65 Median $104.71 Typical High $162.18 | Professional | None (both parts) | $43.65 | $104.71 | $162.18 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $24.55 Typical High $37.15 | Professional | 26 · Professional part | $17.78 | $24.55 | $37.15 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $79.43 Typical High $120.23 | Professional | TC · Technical part | $26.30 | $79.43 | $120.23 |
Fidelis Setting Professional Modifier None (both parts) Typical Low $11.22 Median $11.22 Typical High $12.59 | Professional | None (both parts) | $11.22 | $11.22 | $12.59 |
Highmark BCBS Setting Facility Modifier None Typical Low $89.13 Median $208.93 Typical High $338.84 | Facility | None | $89.13 | $208.93 | $338.84 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $117.49 Typical High $194.98 | Professional | None (both parts) | $112.20 | $117.49 | $194.98 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $41.69 Typical High $56.23 | Professional | 26 · Professional part | $24.55 | $41.69 | $56.23 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $100.00 Typical High $257.04 | Facility | None | $13.80 | $100.00 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $7.59 Median $7.59 Typical High $257.04 | Professional | None (both parts) | $7.59 | $7.59 | $257.04 |
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 $54.95 Median $66.07 Typical High $173.78 | Professional | None (both parts) | $54.95 | $66.07 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $16.60 Typical High $44.67 | Professional | 26 · Professional part | $12.30 | $16.60 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $50.12 Typical High $125.89 | Professional | TC · Technical part | $42.66 | $50.12 | $125.89 |
Univera Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $114.82 | Facility | None | $13.18 | $13.18 | $114.82 |
Univera Setting Professional Modifier None (both parts) Typical Low $43.65 Median $102.33 Typical High $158.49 | Professional | None (both parts) | $43.65 | $102.33 | $158.49 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $24.55 Typical High $36.31 | Professional | 26 · Professional part | $14.45 | $24.55 | $36.31 |
Univera Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $67.61 Typical High $117.49 | Professional | TC · Technical part | $26.30 | $67.61 | $117.49 |
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 $30.90 Median $30.90 Typical High $46.77 | Professional | 52 · Reduced service | $30.90 | $30.90 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $18.62 | Professional | 53 · Discontinued | $12.30 | $12.30 | $18.62 |
Where New York sits
The same service costs 5.5 times more in Alaska 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· 46th of 51
$85.11
AK $269AL $48.98
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.