How much rates vary
Facilitymedian $12 · 10th to 90th $10 to $316Professionalmedian $98 · 10th to 90th $81 to $141
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 $91.20 Median $128.82 Typical High $309.03 | Facility | None | $91.20 | $128.82 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $138.04 | Professional | None (both parts) | $91.20 | $91.20 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.59 Typical High $16.22 | Professional | 26 · Professional part | $12.59 | $12.59 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $120.23 | Professional | TC · Technical part | $79.43 | $79.43 | $120.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $144.54 | $144.54 | $144.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $81.28 Median $95.50 Typical High $107.15 | Professional | None (both parts) | $81.28 | $95.50 | $107.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $13.80 Typical High $15.49 | Professional | 26 · Professional part | $11.75 | $13.80 | $15.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $81.28 Typical High $91.20 | Professional | TC · Technical part | $69.18 | $81.28 | $91.20 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $20.89 Median $144.54 Typical High $165.96 | Professional | None (both parts) | $20.89 | $144.54 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $208.93 Typical High $208.93 | Facility | None | $125.89 | $208.93 | $208.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $141.25 Typical High $151.36 | Professional | None (both parts) | $125.89 | $141.25 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $15.49 Typical High $16.98 | Professional | 26 · Professional part | $14.45 | $15.49 | $16.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $125.89 Typical High $134.90 | Professional | TC · Technical part | $107.15 | $125.89 | $134.90 |
Emblem Health Setting Facility Modifier None Typical Low $12.02 Median $131.83 Typical High $478.63 | Facility | None | $12.02 | $131.83 | $478.63 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $213.80 | Professional | None (both parts) | $162.18 | $162.18 | $213.80 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.38 Typical High $21.88 | Professional | 26 · Professional part | $17.38 | $17.38 | $21.88 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $190.55 | Professional | TC · Technical part | $144.54 | $144.54 | $190.55 |
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 $87.10 Median $100.00 Typical High $141.25 | Professional | None (both parts) | $87.10 | $100.00 | $141.25 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $12.02 Typical High $15.85 | Professional | 26 · Professional part | $10.23 | $12.02 | $15.85 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $87.10 Typical High $123.03 | Professional | TC · Technical part | $77.62 | $87.10 | $123.03 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $123.03 Median $125.89 Typical High $144.54 | Professional | None (both parts) | $123.03 | $125.89 | $144.54 |
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 $39.81 Median $89.13 Typical High $151.36 | Professional | None (both parts) | $39.81 | $89.13 | $151.36 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $14.13 Typical High $19.50 | Professional | 26 · Professional part | $13.80 | $14.13 | $19.50 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $114.82 Typical High $131.83 | Professional | TC · Technical part | $93.33 | $114.82 | $131.83 |
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 $79.43 Median $107.15 Typical High $128.82 | Professional | None (both parts) | $79.43 | $107.15 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $13.18 Typical High $16.22 | Professional | 26 · Professional part | $10.00 | $13.18 | $16.22 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $93.33 Typical High $114.82 | Professional | TC · Technical part | $72.44 | $93.33 | $114.82 |
Univera Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $251.19 | Facility | None | $10.00 | $10.00 | $251.19 |
Univera Setting Facility Modifier TC · Technical part Typical Low $6.03 Median $6.03 Typical High $204.17 | Facility | TC · Technical part | $6.03 | $6.03 | $204.17 |
Univera Setting Professional Modifier None (both parts) Typical Low $89.13 Median $112.20 Typical High $131.83 | Professional | None (both parts) | $89.13 | $112.20 | $131.83 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $12.02 Typical High $15.14 | Professional | 26 · Professional part | $10.23 | $12.02 | $15.14 |
Univera Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $102.33 Typical High $117.49 | Professional | TC · Technical part | $79.43 | $102.33 | $117.49 |
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 $45.71 Median $45.71 Typical High $64.57 | Professional | 52 · Reduced service | $45.71 | $45.71 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $25.70 | Professional | 53 · Discontinued | $18.62 | $18.62 | $25.70 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $95.50 Typical High $123.03 | Professional | 53 · Discontinued | $53.70 | $95.50 | $123.03 |
Where New York sits
The same service costs 3.0 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· 46th of 51
$97.72
AK $245FL $81.28
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.