How much rates vary
Facilitymedian $76 · 10th to 90th $10 to $257Professionalmedian $56 · 10th to 90th $10 to $166
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 $43.65 Median $67.61 Typical High $229.09 | Facility | None | $43.65 | $67.61 | $229.09 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.59 Median $10.00 Typical High $32.36 | Facility | 26 · Professional part | $7.59 | $10.00 | $32.36 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $36.31 Median $57.54 Typical High $194.98 | Facility | TC · Technical part | $36.31 | $57.54 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $45.71 Typical High $151.36 | Professional | None (both parts) | $43.65 | $45.71 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $7.94 Typical High $21.38 | Professional | 26 · Professional part | $7.59 | $7.94 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $38.90 Typical High $131.83 | Professional | TC · Technical part | $36.31 | $38.90 | $131.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None (both parts) | $74.13 | $74.13 | $74.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $28.84 Median $102.33 Typical High $194.98 | Professional | None (both parts) | $28.84 | $102.33 | $194.98 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $15.85 Typical High $30.90 | Professional | 26 · Professional part | $5.01 | $15.85 | $30.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $87.10 Typical High $162.18 | Professional | TC · Technical part | $23.99 | $87.10 | $162.18 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $16.98 Median $95.50 Typical High $112.20 | Professional | None (both parts) | $16.98 | $95.50 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $177.83 Typical High $363.08 | Facility | None | $87.10 | $177.83 | $363.08 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $16.98 Median $77.62 Typical High $112.20 | Facility | TC · Technical part | $16.98 | $77.62 | $112.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $19.50 Median $46.77 Typical High $218.78 | Professional | None (both parts) | $19.50 | $46.77 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $15.49 Typical High $40.74 | Professional | 26 · Professional part | $6.61 | $15.49 | $40.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $74.13 Typical High $251.19 | Professional | TC · Technical part | $33.88 | $74.13 | $251.19 |
Emblem Health Setting Facility Modifier None Typical Low $7.59 Median $79.43 Typical High $186.21 | Facility | None | $7.59 | $79.43 | $186.21 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $52.48 Median $79.43 Typical High $123.03 | Professional | None (both parts) | $52.48 | $79.43 | $123.03 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $12.02 Typical High $60.26 | Professional | 26 · Professional part | $7.24 | $12.02 | $60.26 |
Excellus BCBS Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Facility | None | $10.00 | $10.00 | $10.00 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $28.18 Median $77.62 Typical High $112.20 | Professional | None (both parts) | $28.18 | $77.62 | $112.20 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $11.48 Typical High $16.60 | Professional | 26 · Professional part | $9.33 | $11.48 | $16.60 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $64.57 Typical High $95.50 | Professional | TC · Technical part | $16.98 | $64.57 | $95.50 |
Fidelis Setting Professional Modifier None (both parts) Typical Low $3.98 Median $9.55 Typical High $9.55 | Professional | None (both parts) | $3.98 | $9.55 | $9.55 |
Highmark BCBS Setting Facility Modifier None Typical Low $60.26 Median $120.23 Typical High $346.74 | Facility | None | $60.26 | $120.23 | $346.74 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $75.86 Median $85.11 Typical High $138.04 | Professional | None (both parts) | $75.86 | $85.11 | $138.04 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $74.13 Typical High $257.04 | Facility | None | $13.80 | $74.13 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $8.91 Median $8.91 Typical High $186.21 | Professional | None (both parts) | $8.91 | $8.91 | $186.21 |
United Setting Facility Modifier None Typical Low $269.15 Median $309.03 Typical High $380.19 | Facility | None | $269.15 | $309.03 | $380.19 |
United Setting Professional Modifier None (both parts) Typical Low $40.74 Median $47.86 Typical High $123.03 | Professional | None (both parts) | $40.74 | $47.86 | $123.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $7.59 Typical High $20.42 | Professional | 26 · Professional part | $5.62 | $7.59 | $20.42 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $41.69 Typical High $102.33 | Professional | TC · Technical part | $34.67 | $41.69 | $102.33 |
Univera Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $83.18 | Facility | None | $10.00 | $10.00 | $83.18 |
Univera Setting Professional Modifier None (both parts) Typical Low $28.18 Median $75.86 Typical High $112.20 | Professional | None (both parts) | $28.18 | $75.86 | $112.20 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $11.48 Typical High $15.85 | Professional | 26 · Professional part | $6.46 | $11.48 | $15.85 |
Univera Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $54.95 Typical High $95.50 | Professional | TC · Technical part | $16.98 | $54.95 | $95.50 |
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 $21.88 Median $21.88 Typical High $33.88 | Professional | 52 · Reduced service | $21.88 | $21.88 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $13.49 | Professional | 53 · Discontinued | $8.71 | $8.71 | $13.49 |
Where New York sits
The same service costs 6.0 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
$61.66
AK $209AL $34.67
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.