How much rates vary
Facilitymedian $9 · 10th to 90th $8 to $98Professionalmedian $26 · 10th to 90th $21 to $37
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 $29.51 Median $38.90 Typical High $79.43 | Facility | None | $29.51 | $38.90 | $79.43 |
Aetna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $29.51 Typical High $40.74 | Professional | None (both parts) | $29.51 | $29.51 | $40.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $13.80 Typical High $18.20 | Professional | 26 · Professional part | $13.80 | $13.80 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $15.85 Typical High $21.38 | Professional | TC · Technical part | $15.85 | $15.85 | $21.38 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $31.62 Median $31.62 Typical High $32.36 | Professional | None (both parts) | $31.62 | $31.62 | $32.36 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $21.88 Median $25.70 Typical High $28.84 | Professional | None (both parts) | $21.88 | $25.70 | $28.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $12.30 Typical High $13.80 | Professional | 26 · Professional part | $10.47 | $12.30 | $13.80 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $13.49 Typical High $14.79 | Professional | TC · Technical part | $11.48 | $13.49 | $14.79 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $22.39 Median $24.55 Typical High $46.77 | Professional | None (both parts) | $22.39 | $24.55 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $20.89 Median $20.89 Typical High $36.31 | Professional | None (both parts) | $20.89 | $20.89 | $36.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $9.33 Typical High $15.85 | Professional | 26 · Professional part | $9.33 | $9.33 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $11.48 Typical High $18.62 | Professional | TC · Technical part | $11.48 | $11.48 | $18.62 |
Emblem Health Setting Facility Modifier None Typical Low $7.94 Median $20.42 Typical High $70.79 | Facility | None | $7.94 | $20.42 | $70.79 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $26.30 Median $39.81 Typical High $52.48 | Professional | None (both parts) | $26.30 | $39.81 | $52.48 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $18.62 Typical High $23.44 | Professional | 26 · Professional part | $18.62 | $18.62 | $23.44 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $21.88 Typical High $28.84 | Professional | TC · Technical part | $21.88 | $21.88 | $28.84 |
Excellus BCBS Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Facility | None | $8.13 | $8.13 | $8.13 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $4.79 Median $4.79 Typical High $4.79 | Facility | TC · Technical part | $4.79 | $4.79 | $4.79 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $26.92 Median $28.18 Typical High $38.90 | Professional | None (both parts) | $26.92 | $28.18 | $38.90 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $13.49 Typical High $17.78 | Professional | 26 · Professional part | $12.88 | $13.49 | $17.78 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $14.79 Typical High $25.70 | Professional | TC · Technical part | $13.80 | $14.79 | $25.70 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $39.81 | Professional | None (both parts) | $30.90 | $30.90 | $39.81 |
MVP Health Care Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $32.36 Median $39.81 Typical High $42.66 | Professional | None (both parts) | $32.36 | $39.81 | $42.66 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $15.14 Typical High $20.89 | Professional | 26 · Professional part | $14.79 | $15.14 | $20.89 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $16.98 Typical High $22.91 | Professional | TC · Technical part | $16.22 | $16.98 | $22.91 |
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 $19.50 Median $25.12 Typical High $34.67 | Professional | None (both parts) | $19.50 | $25.12 | $34.67 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $11.75 Typical High $16.98 | Professional | 26 · Professional part | $9.12 | $11.75 | $16.98 |
United Setting Professional Modifier TC · Technical part Typical Low $10.96 Median $13.49 Typical High $17.78 | Professional | TC · Technical part | $10.96 | $13.49 | $17.78 |
Univera Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $112.20 | Facility | None | $8.13 | $8.13 | $112.20 |
Univera Setting Facility Modifier TC · Technical part Typical Low $4.79 Median $4.79 Typical High $57.54 | Facility | TC · Technical part | $4.79 | $4.79 | $57.54 |
Univera Setting Professional Modifier None (both parts) Typical Low $26.92 Median $29.51 Typical High $39.81 | Professional | None (both parts) | $26.92 | $29.51 | $39.81 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $13.80 Typical High $15.85 | Professional | 26 · Professional part | $12.88 | $13.80 | $15.85 |
Univera Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $15.49 Typical High $25.70 | Professional | TC · Technical part | $13.80 | $15.49 | $25.70 |
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 $14.79 Median $14.79 Typical High $19.95 | Professional | 52 · Reduced service | $14.79 | $14.79 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $5.89 Typical High $7.94 | Professional | 53 · Discontinued | $5.89 | $5.89 | $7.94 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $23.44 Typical High $26.92 | Professional | 53 · Discontinued | $16.22 | $23.44 | $26.92 |
Where New York sits
The same service costs 3.4 times more in Alaska than in New York. 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· 51st of 51
$25.70
AK $87.10NY $25.70
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.