How much rates vary
Facilitymedian $10 · 10th to 90th $8 to $105Professionalmedian $14 · 10th to 90th $12 to $20
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 $13.18 Median $19.95 Typical High $52.48 | Facility | None | $13.18 | $19.95 | $52.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $13.18 Median $13.18 Typical High $19.95 | Professional | None (both parts) | $13.18 | $13.18 | $19.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.22 Typical High $14.13 | Professional | 26 · Professional part | $11.22 | $11.22 | $14.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $2.04 Median $2.04 Typical High $4.27 | Professional | TC · Technical part | $2.04 | $2.04 | $4.27 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $12.30 Median $14.45 Typical High $16.22 | Professional | None (both parts) | $12.30 | $14.45 | $16.22 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $12.30 Typical High $13.49 | Professional | 26 · Professional part | $10.47 | $12.30 | $13.49 |
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 $4.68 Median $19.05 Typical High $23.99 | Professional | None (both parts) | $4.68 | $19.05 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $77.62 | Facility | None | $27.54 | $27.54 | $77.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $16.60 Median $18.62 Typical High $19.95 | Professional | None (both parts) | $16.60 | $18.62 | $19.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $13.80 Typical High $14.79 | Professional | 26 · Professional part | $12.88 | $13.80 | $14.79 |
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 $36.31 | Facility | None | $4.47 | $15.14 | $36.31 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $19.95 Median $19.95 Typical High $29.51 | Professional | None (both parts) | $19.95 | $19.95 | $29.51 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $15.14 Typical High $19.50 | Professional | 26 · Professional part | $15.14 | $15.14 | $19.50 |
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 $10.00 Median $10.00 Typical High $10.00 | Facility | None | $10.00 | $10.00 | $10.00 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $6.03 Median $6.03 Typical High $6.03 | Facility | TC · Technical part | $6.03 | $6.03 | $6.03 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $11.75 Median $14.79 Typical High $26.30 | Professional | None (both parts) | $11.75 | $14.79 | $26.30 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.00 Typical High $14.45 | Professional | 26 · Professional part | $9.33 | $10.00 | $14.45 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $2.45 Median $3.02 Typical High $12.59 | Professional | TC · Technical part | $2.45 | $3.02 | $12.59 |
MVP Health Care Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Facility | None | $21.88 | $21.88 | $21.88 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $16.22 Median $31.62 Typical High $34.67 | Professional | None (both parts) | $16.22 | $31.62 | $34.67 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.88 Typical High $16.60 | Professional | 26 · Professional part | $12.59 | $12.88 | $16.60 |
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 $436.52 Median $501.19 Typical High $616.60 | Facility | None | $436.52 | $501.19 | $616.60 |
United Setting Professional Modifier None (both parts) Typical Low $11.48 Median $14.79 Typical High $26.92 | Professional | None (both parts) | $11.48 | $14.79 | $26.92 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $11.48 Typical High $14.45 | Professional | 26 · Professional part | $8.91 | $11.48 | $14.45 |
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 $10.00 Median $10.00 Typical High $57.54 | Facility | None | $10.00 | $10.00 | $57.54 |
Univera Setting Facility Modifier TC · Technical part Typical Low $2.88 Median $6.03 Typical High $22.91 | Facility | TC · Technical part | $2.88 | $6.03 | $22.91 |
Univera Setting Professional Modifier None (both parts) Typical Low $11.75 Median $15.14 Typical High $34.67 | Professional | None (both parts) | $11.75 | $15.14 | $34.67 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.23 Typical High $13.80 | Professional | 26 · Professional part | $9.33 | $10.23 | $13.80 |
Univera Setting Professional Modifier TC · Technical part Typical Low $2.45 Median $3.16 Typical High $24.55 | Professional | TC · Technical part | $2.45 | $3.16 | $24.55 |
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 $6.61 Median $6.61 Typical High $10.00 | Professional | 52 · Reduced service | $6.61 | $6.61 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $2.63 Typical High $3.98 | Professional | 53 · Discontinued | $2.63 | $2.63 | $3.98 |
Fidelis Setting Professional Modifier 59 · Distinct service Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 59 · Distinct service | $32.36 | $32.36 | $32.36 |
Highmark BCBS Setting Professional Modifier 59 · Distinct service Typical Low $15.85 Median $18.20 Typical High $61.66 | Professional | 59 · Distinct service | $15.85 | $18.20 | $61.66 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $11.48 Typical High $11.75 | Professional | 53 · Discontinued | $8.13 | $11.48 | $11.75 |
Where New York sits
The same service costs 2.6 times more in California 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
$14.45
CA $38.02NY $14.45
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.