How much rates vary
Facilitymedian $19 · 10th to 90th $8 to $269Professionalmedian $52 · 10th to 90th $41 to $66
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 $269.15 | Facility | None | $56.23 | $74.13 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $56.23 Typical High $77.62 | Professional | None (both parts) | $56.23 | $56.23 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $31.62 | Professional | 26 · Professional part | $23.44 | $23.44 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $32.36 Typical High $43.65 | Professional | TC · Technical part | $32.36 | $32.36 | $43.65 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $56.23 Median $60.26 Typical High $85.11 | Professional | None (both parts) | $56.23 | $60.26 | $85.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $44.67 Median $52.48 Typical High $58.88 | Professional | None (both parts) | $44.67 | $52.48 | $58.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $21.38 Typical High $23.44 | Professional | 26 · Professional part | $18.20 | $21.38 | $23.44 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $31.62 Typical High $35.48 | Professional | TC · Technical part | $26.92 | $31.62 | $35.48 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $38.02 Median $50.12 Typical High $89.13 | Professional | None (both parts) | $38.02 | $50.12 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $66.07 | Professional | None (both parts) | $39.81 | $39.81 | $66.07 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $15.85 Typical High $26.92 | Professional | 26 · Professional part | $15.85 | $15.85 | $26.92 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $23.44 Typical High $38.02 | Professional | TC · Technical part | $23.44 | $23.44 | $38.02 |
Emblem Health Setting Facility Modifier None Typical Low $12.02 Median $42.66 Typical High $147.91 | Facility | None | $12.02 | $42.66 | $147.91 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $44.67 Median $56.23 Typical High $56.23 | Professional | None (both parts) | $44.67 | $56.23 | $56.23 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $39.81 | Professional | 26 · Professional part | $30.90 | $30.90 | $39.81 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $44.67 Typical High $58.88 | Professional | TC · Technical part | $44.67 | $44.67 | $58.88 |
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 $50.12 Median $53.70 Typical High $72.44 | Professional | None (both parts) | $50.12 | $53.70 | $72.44 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $21.88 Typical High $30.20 | Professional | 26 · Professional part | $19.95 | $21.88 | $30.20 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $30.90 Typical High $44.67 | Professional | TC · Technical part | $28.84 | $30.90 | $44.67 |
Fidelis Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 26 · Professional part | $32.36 | $32.36 | $32.36 |
Highmark BCBS Setting Facility Modifier None Typical Low $151.36 Median $478.63 Typical High $616.60 | Facility | None | $151.36 | $478.63 | $616.60 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $58.88 Median $75.86 Typical High $75.86 | Professional | None (both parts) | $58.88 | $75.86 | $75.86 |
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 $61.66 Median $85.11 Typical High $85.11 | Professional | None (both parts) | $61.66 | $85.11 | $85.11 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.70 Typical High $34.67 | Professional | 26 · Professional part | $25.12 | $25.70 | $34.67 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $35.48 Typical High $46.77 | Professional | TC · Technical part | $33.88 | $35.48 | $46.77 |
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 $37.15 Median $46.77 Typical High $64.57 | Professional | None (both parts) | $37.15 | $46.77 | $64.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $19.05 Typical High $28.84 | Professional | 26 · Professional part | $15.49 | $19.05 | $28.84 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $26.92 Typical High $36.31 | Professional | TC · Technical part | $22.39 | $26.92 | $36.31 |
Univera Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $194.98 | Facility | None | $8.13 | $8.13 | $194.98 |
Univera Setting Facility Modifier TC · Technical part Typical Low $4.79 Median $4.79 Typical High $64.57 | Facility | TC · Technical part | $4.79 | $4.79 | $64.57 |
Univera Setting Professional Modifier None (both parts) Typical Low $50.12 Median $56.23 Typical High $70.79 | Professional | None (both parts) | $50.12 | $56.23 | $70.79 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $21.88 Typical High $26.92 | Professional | 26 · Professional part | $20.42 | $21.88 | $26.92 |
Univera Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $32.36 Typical High $40.74 | Professional | TC · Technical part | $28.84 | $32.36 | $40.74 |
5 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 $37.15 | Professional | 52 · Reduced service | $28.18 | $28.18 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.22 Typical High $15.14 | Professional | 53 · Discontinued | $11.22 | $11.22 | $15.14 |
Highmark BCBS Setting Professional Modifier 25 · Same-day visit Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 25 · Same-day visit | $75.86 | $75.86 | $75.86 |
Highmark BCBS Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $58.88 Median $75.86 Typical High $75.86 | Professional | Q6 · Substitute physician, paid per time | $58.88 | $75.86 | $75.86 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $45.71 Typical High $52.48 | Professional | 53 · Discontinued | $30.90 | $45.71 | $52.48 |
Where New York sits
The same service costs 3.5 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· 48th of 51
$52.48
AK $162FL $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.