How much rates vary
Facilitymedian $35 · 10th to 90th $8 to $102Professionalmedian $16 · 10th to 90th $13 to $22
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 $14.45 Median $21.38 Typical High $56.23 | Facility | None | $14.45 | $21.38 | $56.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $14.45 Median $14.45 Typical High $21.38 | Professional | None (both parts) | $14.45 | $14.45 | $21.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.02 Typical High $15.49 | Professional | 26 · Professional part | $12.02 | $12.02 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $2.40 Median $2.40 Typical High $4.27 | Professional | TC · Technical part | $2.40 | $2.40 | $4.27 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $13.80 Median $15.49 Typical High $17.38 | Professional | None (both parts) | $13.80 | $15.49 | $17.38 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $13.18 Typical High $14.79 | Professional | 26 · Professional part | $11.22 | $13.18 | $14.79 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $1.91 Median $2.24 Typical High $2.51 | Professional | TC · Technical part | $1.91 | $2.24 | $2.51 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $5.13 Median $20.42 Typical High $25.70 | Professional | None (both parts) | $5.13 | $20.42 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $77.62 | Facility | None | $29.51 | $29.51 | $77.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $19.50 Typical High $21.38 | Professional | None (both parts) | $17.78 | $19.50 | $21.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $15.14 Typical High $16.22 | Professional | 26 · Professional part | $13.80 | $15.14 | $16.22 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $3.98 Median $4.68 Typical High $4.79 | Professional | TC · Technical part | $3.98 | $4.68 | $4.79 |
Emblem Health Setting Facility Modifier None Typical Low $4.47 Median $15.14 Typical High $30.20 | Facility | None | $4.47 | $15.14 | $30.20 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $20.89 Median $20.89 Typical High $31.62 | Professional | None (both parts) | $20.89 | $20.89 | $31.62 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.60 Typical High $20.89 | Professional | 26 · Professional part | $16.60 | $16.60 | $20.89 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $4.47 Median $4.47 Typical High $5.75 | Professional | TC · Technical part | $4.47 | $4.47 | $5.75 |
Excellus BCBS Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | TC · Technical part | $21.38 | $21.38 | $21.38 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $12.59 Median $15.49 Typical High $26.92 | Professional | None (both parts) | $12.59 | $15.49 | $26.92 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.96 Typical High $15.49 | Professional | 26 · Professional part | $10.00 | $10.96 | $15.49 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $2.45 Median $3.02 Typical High $13.18 | Professional | TC · Technical part | $2.45 | $3.02 | $13.18 |
MVP Health Care Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $17.38 Median $33.11 Typical High $34.67 | Professional | None (both parts) | $17.38 | $33.11 | $34.67 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.80 Typical High $17.78 | Professional | 26 · Professional part | $13.49 | $13.80 | $17.78 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $2.95 Median $3.55 Typical High $4.27 | Professional | TC · Technical part | $2.95 | $3.55 | $4.27 |
United Setting Facility Modifier None Typical Low $257.04 Median $302.00 Typical High $371.54 | Facility | None | $257.04 | $302.00 | $371.54 |
United Setting Professional Modifier None (both parts) Typical Low $12.30 Median $15.85 Typical High $28.84 | Professional | None (both parts) | $12.30 | $15.85 | $28.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $12.59 Typical High $15.49 | Professional | 26 · Professional part | $9.55 | $12.59 | $15.49 |
United Setting Professional Modifier TC · Technical part Typical Low $2.45 Median $3.24 Typical High $3.98 | Professional | TC · Technical part | $2.45 | $3.24 | $3.98 |
Univera Setting Facility Modifier None Typical Low $14.79 Median $35.48 Typical High $66.07 | Facility | None | $14.79 | $35.48 | $66.07 |
Univera Setting Facility Modifier TC · Technical part Typical Low $2.88 Median $21.38 Typical High $26.92 | Facility | TC · Technical part | $2.88 | $21.38 | $26.92 |
Univera Setting Professional Modifier None (both parts) Typical Low $12.59 Median $16.22 Typical High $38.02 | Professional | None (both parts) | $12.59 | $16.22 | $38.02 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.96 Typical High $14.79 | Professional | 26 · Professional part | $10.00 | $10.96 | $14.79 |
Univera Setting Professional Modifier TC · Technical part Typical Low $2.45 Median $3.16 Typical High $26.92 | Professional | TC · Technical part | $2.45 | $3.16 | $26.92 |
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 $7.24 Median $7.24 Typical High $10.47 | Professional | 52 · Reduced service | $7.24 | $7.24 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $2.88 Typical High $4.27 | Professional | 53 · Discontinued | $2.88 | $2.88 | $4.27 |
Fidelis Setting Professional Modifier 59 · Distinct service Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 59 · Distinct service | $35.48 | $35.48 | $35.48 |
Highmark BCBS Setting Professional Modifier 59 · Distinct service Typical Low $16.98 Median $19.95 Typical High $67.61 | Professional | 59 · Distinct service | $16.98 | $19.95 | $67.61 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $12.30 Typical High $12.59 | Professional | 53 · Discontinued | $8.71 | $12.30 | $12.59 |
Where New York sits
The same service costs 2.5 times more in California than in Texas. 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
$16.22
CA $40.74TX $16.22
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.