How much rates vary
Facilitymedian $74 · 10th to 90th $26 to $200Professionalmedian $74 · 10th to 90th $38 to $178
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 $56.23 Median $74.13 Typical High $245.47 | Facility | None | $56.23 | $74.13 | $245.47 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $16.60 Median $23.44 Typical High $74.13 | Facility | 26 · Professional part | $16.60 | $23.44 | $74.13 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $39.81 Median $50.12 Typical High $169.82 | Facility | TC · Technical part | $39.81 | $50.12 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $60.26 Typical High $162.18 | Professional | None (both parts) | $56.23 | $60.26 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $17.78 Typical High $46.77 | Professional | 26 · Professional part | $16.60 | $17.78 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $41.69 Typical High $120.23 | Professional | TC · Technical part | $39.81 | $41.69 | $120.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None (both parts) | $87.10 | $87.10 | $87.10 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $38.02 Median $109.65 Typical High $229.09 | Professional | None (both parts) | $38.02 | $109.65 | $229.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $33.11 Typical High $67.61 | Professional | 26 · Professional part | $12.02 | $33.11 | $67.61 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $77.62 Typical High $162.18 | Professional | TC · Technical part | $25.70 | $77.62 | $162.18 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $40.74 Median $89.13 Typical High $128.82 | Professional | None (both parts) | $40.74 | $89.13 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $169.82 Typical High $199.53 | Facility | None | $75.86 | $169.82 | $199.53 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $10.72 Median $50.12 Typical High $70.79 | Facility | 26 · Professional part | $10.72 | $50.12 | $70.79 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $15.85 Median $74.13 Typical High $104.71 | Facility | TC · Technical part | $15.85 | $74.13 | $104.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $81.28 Typical High $204.17 | Professional | None (both parts) | $53.70 | $81.28 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $30.20 Typical High $85.11 | Professional | 26 · Professional part | $12.59 | $30.20 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $69.18 Typical High $208.93 | Professional | TC · Technical part | $29.51 | $69.18 | $208.93 |
Emblem Health Setting Facility Modifier None Typical Low $32.36 Median $77.62 Typical High $181.97 | Facility | None | $32.36 | $77.62 | $181.97 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $60.26 Median $75.86 Typical High $141.25 | Professional | None (both parts) | $60.26 | $75.86 | $141.25 |
Excellus BCBS Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $52.48 Median $91.20 Typical High $131.83 | Professional | None (both parts) | $52.48 | $91.20 | $131.83 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $29.51 Typical High $38.90 | Professional | 26 · Professional part | $19.50 | $29.51 | $38.90 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $63.10 Typical High $93.33 | Professional | TC · Technical part | $38.90 | $63.10 | $93.33 |
Fidelis Setting Professional Modifier None (both parts) Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None (both parts) | $21.38 | $21.38 | $21.38 |
Highmark BCBS Setting Facility Modifier None Typical Low $53.70 Median $177.83 Typical High $354.81 | Facility | None | $53.70 | $177.83 | $354.81 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $165.96 Typical High $169.82 | Professional | None (both parts) | $109.65 | $165.96 | $169.82 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $28.84 Typical High $60.26 | Professional | 26 · Professional part | $26.30 | $28.84 | $60.26 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $81.28 Typical High $257.04 | Facility | None | $13.80 | $81.28 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $223.87 | Professional | None (both parts) | $70.79 | $70.79 | $223.87 |
United Setting Professional Modifier None (both parts) Typical Low $47.86 Median $56.23 Typical High $147.91 | Professional | None (both parts) | $47.86 | $56.23 | $147.91 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $17.38 Typical High $45.71 | Professional | 26 · Professional part | $13.18 | $17.38 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $38.90 Typical High $100.00 | Professional | TC · Technical part | $33.88 | $38.90 | $100.00 |
Univera Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $97.72 | Facility | None | $25.70 | $25.70 | $97.72 |
Univera Setting Professional Modifier None (both parts) Typical Low $52.48 Median $89.13 Typical High $131.83 | Professional | None (both parts) | $52.48 | $89.13 | $131.83 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $29.51 Typical High $38.90 | Professional | 26 · Professional part | $15.49 | $29.51 | $38.90 |
Univera Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $53.70 Typical High $93.33 | Professional | TC · Technical part | $37.15 | $53.70 | $93.33 |
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 $28.18 Median $28.18 Typical High $36.31 | Professional | 52 · Reduced service | $28.18 | $28.18 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.22 Typical High $14.79 | Professional | 53 · Discontinued | $11.22 | $11.22 | $14.79 |
Where New York sits
The same service costs 5.9 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· 44th of 51
$74.13
AK $347AL $58.88
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.