How much rates vary
Facilitymedian $10 · 10th to 90th $8 to $129Professionalmedian $36 · 10th to 90th $30 to $51
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 $41.69 Median $57.54 Typical High $309.03 | Facility | None | $41.69 | $57.54 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $41.69 Typical High $57.54 | Professional | None (both parts) | $41.69 | $41.69 | $57.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $18.20 Typical High $24.55 | Professional | 26 · Professional part | $18.20 | $18.20 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $23.44 Typical High $31.62 | Professional | TC · Technical part | $23.44 | $23.44 | $31.62 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $40.74 Median $40.74 Typical High $44.67 | Professional | None (both parts) | $40.74 | $40.74 | $44.67 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $30.90 Median $35.48 Typical High $38.02 | Professional | None (both parts) | $30.90 | $35.48 | $38.02 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $16.22 Typical High $18.20 | Professional | 26 · Professional part | $13.80 | $16.22 | $18.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $19.95 Typical High $39.81 | Professional | TC · Technical part | $16.98 | $19.95 | $39.81 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $30.20 Median $36.31 Typical High $66.07 | Professional | None (both parts) | $30.20 | $36.31 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $29.51 Typical High $51.29 | Professional | None (both parts) | $29.51 | $29.51 | $51.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.30 Typical High $20.89 | Professional | 26 · Professional part | $12.30 | $12.30 | $20.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $16.98 Typical High $28.18 | Professional | TC · Technical part | $16.98 | $16.98 | $28.18 |
Emblem Health Setting Facility Modifier None Typical Low $7.94 Median $30.90 Typical High $107.15 | Facility | None | $7.94 | $30.90 | $107.15 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $38.02 Median $56.23 Typical High $66.07 | Professional | None (both parts) | $38.02 | $56.23 | $66.07 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $30.90 | Professional | 26 · Professional part | $23.99 | $23.99 | $30.90 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $32.36 Typical High $42.66 | Professional | TC · Technical part | $32.36 | $32.36 | $42.66 |
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 $37.15 Median $39.81 Typical High $56.23 | Professional | None (both parts) | $37.15 | $39.81 | $56.23 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.98 Typical High $23.44 | Professional | 26 · Professional part | $16.60 | $16.98 | $23.44 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $21.88 Typical High $34.67 | Professional | TC · Technical part | $20.89 | $21.88 | $34.67 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $43.65 Median $56.23 Typical High $56.23 | Professional | None (both parts) | $43.65 | $56.23 | $56.23 |
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 $45.71 Median $54.95 Typical High $60.26 | Professional | None (both parts) | $45.71 | $54.95 | $60.26 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $19.95 Typical High $27.54 | Professional | 26 · Professional part | $19.50 | $19.95 | $27.54 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $25.70 Typical High $33.88 | Professional | TC · Technical part | $23.99 | $25.70 | $33.88 |
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 $27.54 Median $35.48 Typical High $48.98 | Professional | None (both parts) | $27.54 | $35.48 | $48.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $15.14 Typical High $22.39 | Professional | 26 · Professional part | $12.30 | $15.14 | $22.39 |
United Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $19.95 Typical High $26.30 | Professional | TC · Technical part | $16.22 | $19.95 | $26.30 |
Univera Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $154.88 | Facility | None | $8.13 | $8.13 | $154.88 |
Univera Setting Facility Modifier TC · Technical part Typical Low $4.79 Median $4.79 Typical High $87.10 | Facility | TC · Technical part | $4.79 | $4.79 | $87.10 |
Univera Setting Professional Modifier None (both parts) Typical Low $37.15 Median $41.69 Typical High $52.48 | Professional | None (both parts) | $37.15 | $41.69 | $52.48 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.98 Typical High $20.89 | Professional | 26 · Professional part | $16.60 | $16.98 | $20.89 |
Univera Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $22.91 Typical High $34.67 | Professional | TC · Technical part | $20.89 | $22.91 | $34.67 |
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 $20.89 Median $20.89 Typical High $28.18 | Professional | 52 · Reduced service | $20.89 | $20.89 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.32 Typical High $11.22 | Professional | 53 · Discontinued | $8.32 | $8.32 | $11.22 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $33.11 Typical High $38.02 | Professional | 53 · Discontinued | $22.91 | $33.11 | $38.02 |
Where New York sits
The same service costs 3.4 times more in Alaska than in Utah. 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· 50th of 51
$36.31
AK $123UT $36.31
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.