How much rates vary
Facilitymedian $15 · 10th to 90th $8 to $129Professionalmedian $49 · 10th to 90th $39 to $65
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 $67.61 Typical High $147.91 | Facility | None | $56.23 | $67.61 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $56.23 Typical High $75.86 | Professional | None (both parts) | $56.23 | $56.23 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $43.65 | Professional | 26 · Professional part | $32.36 | $32.36 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $23.99 Typical High $31.62 | Professional | TC · Technical part | $23.99 | $23.99 | $31.62 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $60.26 Median $72.44 Typical High $112.20 | Professional | None (both parts) | $60.26 | $72.44 | $112.20 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $41.69 Median $48.98 Typical High $53.70 | Professional | None (both parts) | $41.69 | $48.98 | $53.70 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.84 Typical High $31.62 | Professional | 26 · Professional part | $24.55 | $28.84 | $31.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $19.95 Typical High $41.69 | Professional | TC · Technical part | $16.98 | $19.95 | $41.69 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $36.31 Median $52.48 Typical High $89.13 | Professional | None (both parts) | $36.31 | $52.48 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $38.90 Typical High $63.10 | Professional | None (both parts) | $38.90 | $38.90 | $63.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $37.15 | Professional | 26 · Professional part | $21.38 | $21.38 | $37.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $17.38 Typical High $23.99 | Professional | TC · Technical part | $17.38 | $17.38 | $23.99 |
Emblem Health Setting Facility Modifier None Typical Low $5.01 Median $30.90 Typical High $112.20 | Facility | None | $5.01 | $30.90 | $112.20 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $100.00 | Professional | None (both parts) | $75.86 | $75.86 | $100.00 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $53.70 | Professional | 26 · Professional part | $42.66 | $42.66 | $53.70 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $33.88 Typical High $44.67 | Professional | TC · Technical part | $33.88 | $33.88 | $44.67 |
Excellus BCBS Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $9.12 Median $9.12 Typical High $9.12 | Facility | TC · Technical part | $9.12 | $9.12 | $9.12 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $47.86 Median $51.29 Typical High $70.79 | Professional | None (both parts) | $47.86 | $51.29 | $70.79 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $30.20 Typical High $41.69 | Professional | 26 · Professional part | $27.54 | $30.20 | $41.69 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $21.38 Typical High $30.20 | Professional | TC · Technical part | $19.95 | $21.38 | $30.20 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $60.26 Median $75.86 Typical High $85.11 | Professional | None (both parts) | $60.26 | $75.86 | $85.11 |
MVP Health Care Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $50.12 Median $51.29 Typical High $77.62 | Professional | None (both parts) | $50.12 | $51.29 | $77.62 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $35.48 Typical High $46.77 | Professional | 26 · Professional part | $34.67 | $35.48 | $46.77 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $26.30 Typical High $33.11 | Professional | TC · Technical part | $24.55 | $26.30 | $33.11 |
United Setting Facility Modifier None Typical Low $117.49 Median $138.04 Typical High $169.82 | Facility | None | $117.49 | $138.04 | $169.82 |
United Setting Professional Modifier None (both parts) Typical Low $36.31 Median $44.67 Typical High $66.07 | Professional | None (both parts) | $36.31 | $44.67 | $66.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $26.30 Typical High $39.81 | Professional | 26 · Professional part | $21.38 | $26.30 | $39.81 |
United Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $19.95 Typical High $25.70 | Professional | TC · Technical part | $15.49 | $19.95 | $25.70 |
Univera Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $147.91 | Facility | None | $15.14 | $15.14 | $147.91 |
Univera Setting Facility Modifier TC · Technical part Typical Low $9.12 Median $9.12 Typical High $46.77 | Facility | TC · Technical part | $9.12 | $9.12 | $46.77 |
Univera Setting Professional Modifier None (both parts) Typical Low $51.29 Median $54.95 Typical High $64.57 | Professional | None (both parts) | $51.29 | $54.95 | $64.57 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $30.20 Typical High $37.15 | Professional | 26 · Professional part | $27.54 | $30.20 | $37.15 |
Univera Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $23.99 Typical High $27.54 | Professional | TC · Technical part | $21.38 | $23.99 | $27.54 |
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 $28.18 Median $28.18 Typical High $34.67 | Professional | 52 · Reduced service | $28.18 | $28.18 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.22 Typical High $13.80 | Professional | 53 · Discontinued | $11.22 | $11.22 | $13.80 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $44.67 Typical High $50.12 | Professional | 53 · Discontinued | $30.90 | $44.67 | $50.12 |
Where New York sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 49th of 51
$48.98
AK $170FL $45.71
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.