How much rates vary
Facilitymedian $60 · 10th to 90th $14 to $166Professionalmedian $42 · 10th to 90th $35 to $60
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 $33.88 Median $57.54 Typical High $125.89 | Facility | None | $33.88 | $57.54 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $48.98 Typical High $66.07 | Professional | None (both parts) | $48.98 | $48.98 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $7.94 Typical High $10.72 | Professional | 26 · Professional part | $7.94 | $7.94 | $10.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $41.69 Typical High $54.95 | Professional | TC · Technical part | $41.69 | $41.69 | $54.95 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $34.67 Median $39.81 Typical High $45.71 | Professional | None (both parts) | $34.67 | $39.81 | $45.71 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $6.92 Typical High $7.59 | Professional | 26 · Professional part | $5.89 | $6.92 | $7.59 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $34.67 Typical High $40.74 | Professional | TC · Technical part | $28.84 | $34.67 | $40.74 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $12.59 Median $63.10 Typical High $75.86 | Professional | None (both parts) | $12.59 | $63.10 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $79.43 | Professional | None (both parts) | $34.67 | $34.67 | $79.43 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.50 Median $5.50 Typical High $12.88 | Professional | 26 · Professional part | $5.50 | $5.50 | $12.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $29.51 Typical High $67.61 | Professional | TC · Technical part | $29.51 | $29.51 | $67.61 |
Emblem Health Setting Facility Modifier None Typical Low $14.13 Median $52.48 Typical High $181.97 | Facility | None | $14.13 | $52.48 | $181.97 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $85.11 | Professional | None (both parts) | $66.07 | $66.07 | $85.11 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $10.23 Typical High $12.88 | Professional | 26 · Professional part | $10.23 | $10.23 | $12.88 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $72.44 | Professional | TC · Technical part | $56.23 | $56.23 | $72.44 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $42.66 Median $44.67 Typical High $60.26 | Professional | None (both parts) | $42.66 | $44.67 | $60.26 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.24 Typical High $9.77 | Professional | 26 · Professional part | $7.08 | $7.24 | $9.77 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $37.15 Typical High $50.12 | Professional | TC · Technical part | $36.31 | $37.15 | $50.12 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None (both parts) | $64.57 | $64.57 | $64.57 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $67.61 | Professional | None (both parts) | $39.81 | $39.81 | $67.61 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.12 Typical High $12.88 | Professional | 26 · Professional part | $8.32 | $9.12 | $12.88 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $44.67 Typical High $60.26 | Professional | TC · Technical part | $41.69 | $44.67 | $60.26 |
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 $30.90 Median $40.74 Typical High $53.70 | Professional | None (both parts) | $30.90 | $40.74 | $53.70 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.25 Median $6.76 Typical High $9.55 | Professional | 26 · Professional part | $5.25 | $6.76 | $9.55 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $33.88 Typical High $45.71 | Professional | TC · Technical part | $26.92 | $33.88 | $45.71 |
Univera Setting Facility Modifier None Typical Low $51.29 Median $60.26 Typical High $154.88 | Facility | None | $51.29 | $60.26 | $154.88 |
Univera Setting Professional Modifier None (both parts) Typical Low $30.20 Median $44.67 Typical High $60.26 | Professional | None (both parts) | $30.20 | $44.67 | $60.26 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $4.90 Median $7.24 Typical High $9.77 | Professional | 26 · Professional part | $4.90 | $7.24 | $9.77 |
Univera Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $37.15 Typical High $50.12 | Professional | TC · Technical part | $25.12 | $37.15 | $50.12 |
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 $24.55 Median $24.55 Typical High $30.20 | Professional | 52 · Reduced service | $24.55 | $24.55 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $9.77 Typical High $12.02 | Professional | 53 · Discontinued | $9.77 | $9.77 | $12.02 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $36.31 Typical High $48.98 | Professional | 53 · Discontinued | $25.70 | $36.31 | $48.98 |
Where New York sits
The same service costs 3.5 times more in Alaska than in New Jersey. 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· 45th of 51
$42.66
AK $135NJ $38.90
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.