How much rates vary
Facilitymedian $36 · 10th to 90th $11 to $68Professionalmedian $15 · 10th to 90th $12 to $21
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 $15.49 Median $18.62 Typical High $38.02 | Facility | None | $15.49 | $18.62 | $38.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $15.49 Median $15.49 Typical High $18.62 | Professional | None (both parts) | $15.49 | $15.49 | $18.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $7.24 Typical High $9.77 | Professional | 26 · Professional part | $7.24 | $7.24 | $9.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $8.13 Median $8.13 Typical High $8.91 | Professional | TC · Technical part | $8.13 | $8.13 | $8.91 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $7.24 Median $14.45 Typical High $16.98 | Professional | None (both parts) | $7.24 | $14.45 | $16.98 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $7.76 Typical High $9.12 | Professional | 26 · Professional part | $6.61 | $7.76 | $9.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $6.31 Median $7.41 Typical High $8.32 | Professional | TC · Technical part | $6.31 | $7.41 | $8.32 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $10.96 Median $11.75 Typical High $22.39 | Professional | None (both parts) | $10.96 | $11.75 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $50.12 | Facility | None | $27.54 | $27.54 | $50.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $16.22 Median $16.60 Typical High $41.69 | Professional | None (both parts) | $16.22 | $16.60 | $41.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.13 Typical High $19.50 | Professional | 26 · Professional part | $7.94 | $8.13 | $19.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $8.32 Median $8.71 Typical High $21.88 | Professional | TC · Technical part | $8.32 | $8.71 | $21.88 |
Emblem Health Setting Facility Modifier None Typical Low $10.47 Median $37.15 Typical High $53.70 | Facility | None | $10.47 | $37.15 | $53.70 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $20.42 Median $20.42 Typical High $30.20 | Professional | None (both parts) | $20.42 | $20.42 | $30.20 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $9.77 Typical High $15.14 | Professional | 26 · Professional part | $9.77 | $9.77 | $15.14 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $10.47 Median $10.47 Typical High $15.49 | Professional | TC · Technical part | $10.47 | $10.47 | $15.49 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $12.59 Median $16.22 Typical High $21.38 | Professional | None (both parts) | $12.59 | $16.22 | $21.38 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $8.13 Typical High $10.72 | Professional | 26 · Professional part | $6.31 | $8.13 | $10.72 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $6.31 Median $8.13 Typical High $10.72 | Professional | TC · Technical part | $6.31 | $8.13 | $10.72 |
MVP Health Care Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Facility | None | $10.96 | $10.96 | $10.96 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $14.45 Median $14.45 Typical High $26.30 | Professional | None (both parts) | $14.45 | $14.45 | $26.30 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.47 Typical High $13.18 | Professional | 26 · Professional part | $8.71 | $10.47 | $13.18 |
United Setting Facility Modifier None Typical Low $57.54 Median $67.61 Typical High $83.18 | Facility | None | $57.54 | $67.61 | $83.18 |
United Setting Professional Modifier None (both parts) Typical Low $13.18 Median $19.95 Typical High $30.20 | Professional | None (both parts) | $13.18 | $19.95 | $30.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $9.77 Typical High $15.14 | Professional | 26 · Professional part | $6.46 | $9.77 | $15.14 |
United Setting Professional Modifier TC · Technical part Typical Low $6.61 Median $10.00 Typical High $15.14 | Professional | TC · Technical part | $6.61 | $10.00 | $15.14 |
Univera Setting Facility Modifier None Typical Low $16.22 Median $21.38 Typical High $46.77 | Facility | None | $16.22 | $21.38 | $46.77 |
Univera Setting Professional Modifier None (both parts) Typical Low $12.59 Median $14.45 Typical High $20.42 | Professional | None (both parts) | $12.59 | $14.45 | $20.42 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $7.08 Typical High $10.23 | Professional | 26 · Professional part | $6.31 | $7.08 | $10.23 |
Univera Setting Professional Modifier TC · Technical part Typical Low $6.31 Median $7.94 Typical High $10.23 | Professional | TC · Technical part | $6.31 | $7.94 | $10.23 |
2 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 $7.76 Median $7.76 Typical High $9.33 | Professional | 52 · Reduced service | $7.76 | $7.76 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.09 Typical High $3.72 | Professional | 53 · Discontinued | $3.09 | $3.09 | $3.72 |
Where New York sits
The same service costs 2.7 times more in Minnesota 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· 50th of 51
$15.14
MN $38.02FL $14.13
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.