How much rates vary
Facilitymedian $98 · 10th to 90th $54 to $372Professionalmedian $102 · 10th to 90th $85 to $170
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 $97.72 Median $128.82 Typical High $263.03 | Facility | None | $97.72 | $128.82 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $128.82 | Professional | None (both parts) | $97.72 | $97.72 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $66.07 | Professional | 26 · Professional part | $48.98 | $48.98 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $63.10 | Professional | TC · Technical part | $48.98 | $48.98 | $63.10 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $81.28 Median $100.00 Typical High $112.20 | Professional | None (both parts) | $81.28 | $100.00 | $112.20 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $52.48 Typical High $58.88 | Professional | 26 · Professional part | $44.67 | $52.48 | $58.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $50.12 Typical High $54.95 | Professional | TC · Technical part | $42.66 | $50.12 | $54.95 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $74.13 Median $79.43 Typical High $151.36 | Professional | None (both parts) | $74.13 | $79.43 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $275.42 Typical High $436.52 | Facility | None | $186.21 | $275.42 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $112.20 Typical High $281.84 | Professional | None (both parts) | $109.65 | $112.20 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $138.04 | Professional | 26 · Professional part | $53.70 | $53.70 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $58.88 Typical High $147.91 | Professional | TC · Technical part | $57.54 | $58.88 | $147.91 |
Emblem Health Setting Facility Modifier None Typical Low $40.74 Median $74.13 Typical High $239.88 | Facility | None | $40.74 | $74.13 | $239.88 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $208.93 | Professional | None (both parts) | $138.04 | $138.04 | $208.93 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $100.00 | Professional | 26 · Professional part | $63.10 | $63.10 | $100.00 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $109.65 | Professional | TC · Technical part | $74.13 | $74.13 | $109.65 |
Excellus BCBS Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $85.11 Median $109.65 Typical High $147.91 | Professional | None (both parts) | $85.11 | $109.65 | $147.91 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $52.48 Typical High $72.44 | Professional | 26 · Professional part | $40.74 | $52.48 | $72.44 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $57.54 Typical High $75.86 | Professional | TC · Technical part | $43.65 | $57.54 | $75.86 |
MVP Health Care Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $190.55 | Professional | None (both parts) | $169.82 | $169.82 | $190.55 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $70.79 Typical High $89.13 | Professional | 26 · Professional part | $58.88 | $70.79 | $89.13 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $66.07 Typical High $81.28 | Professional | TC · Technical part | $51.29 | $66.07 | $81.28 |
United Setting Facility Modifier None Typical Low $891.25 Median $1,047.13 Typical High $1,288.25 | Facility | None | $891.25 | $1,047.13 | $1,288.25 |
United Setting Professional Modifier None (both parts) Typical Low $89.13 Median $128.82 Typical High $199.53 | Professional | None (both parts) | $89.13 | $128.82 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $66.07 Typical High $100.00 | Professional | 26 · Professional part | $41.69 | $66.07 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $64.57 Typical High $100.00 | Professional | TC · Technical part | $44.67 | $64.57 | $100.00 |
Univera Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $371.54 | Facility | None | $97.72 | $97.72 | $371.54 |
Univera Setting Professional Modifier None (both parts) Typical Low $85.11 Median $109.65 Typical High $147.91 | Professional | None (both parts) | $85.11 | $109.65 | $147.91 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $52.48 Typical High $72.44 | Professional | 26 · Professional part | $38.90 | $52.48 | $72.44 |
Univera Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $57.54 Typical High $75.86 | Professional | TC · Technical part | $43.65 | $57.54 | $75.86 |
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 $48.98 Median $48.98 Typical High $64.57 | Professional | 52 · Reduced service | $48.98 | $48.98 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $25.70 | Professional | 53 · Discontinued | $19.50 | $19.50 | $25.70 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $69.18 Typical High $87.10 | Professional | 53 · Discontinued | $54.95 | $69.18 | $87.10 |
Where New York sits
The same service costs 3.8 times more in Minnesota than in Utah. 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· 47th of 51
$102
MN $269UT $70.79
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.