How much rates vary
Facilitymedian $52 · 10th to 90th $18 to $148Professionalmedian $60 · 10th to 90th $47 to $91
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 $52.48 Median $85.11 Typical High $165.96 | Facility | None | $52.48 | $85.11 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $52.48 Typical High $85.11 | Professional | None (both parts) | $52.48 | $52.48 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $43.65 | Professional | 26 · Professional part | $32.36 | $32.36 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $19.95 Typical High $41.69 | Professional | TC · Technical part | $19.95 | $19.95 | $41.69 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None (both parts) | $67.61 | $67.61 | $67.61 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $40.74 Median $57.54 Typical High $67.61 | Professional | None (both parts) | $40.74 | $57.54 | $67.61 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $36.31 Typical High $42.66 | Professional | 26 · Professional part | $30.90 | $36.31 | $42.66 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $21.88 Typical High $51.29 | Professional | TC · Technical part | $18.62 | $21.88 | $51.29 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $45.71 Median $52.48 Typical High $97.72 | Professional | None (both parts) | $45.71 | $52.48 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $87,096.36 | Facility | None | $112.20 | $112.20 | $87,096.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $74.13 Typical High $162.18 | Professional | None (both parts) | $70.79 | $74.13 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $89.13 | Professional | 26 · Professional part | $36.31 | $36.31 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $38.02 Typical High $79.43 | Professional | TC · Technical part | $30.90 | $38.02 | $79.43 |
Emblem Health Setting Facility Modifier None Typical Low $40.74 Median $91.20 Typical High $147.91 | Facility | None | $40.74 | $91.20 | $147.91 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $123.03 | Professional | None (both parts) | $83.18 | $83.18 | $123.03 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $64.57 | Professional | 26 · Professional part | $41.69 | $41.69 | $64.57 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $41.69 Typical High $61.66 | Professional | TC · Technical part | $41.69 | $41.69 | $61.66 |
Excellus BCBS Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $10.96 Median $10.96 Typical High $10.96 | Facility | TC · Technical part | $10.96 | $10.96 | $10.96 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $57.54 Median $67.61 Typical High $104.71 | Professional | None (both parts) | $57.54 | $67.61 | $104.71 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $34.67 Typical High $53.70 | Professional | 26 · Professional part | $29.51 | $34.67 | $53.70 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $32.36 Typical High $50.12 | Professional | TC · Technical part | $27.54 | $32.36 | $50.12 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | TC · Technical part | $91.20 | $91.20 | $91.20 |
MVP Health Care Setting Facility Modifier None Typical Low $39.81 Median $61,659.50 Typical High $89,125.09 | Facility | None | $39.81 | $61,659.50 | $89,125.09 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $46.77 Median $46.77 Typical High $91.20 | Professional | None (both parts) | $46.77 | $46.77 | $91.20 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $46.77 Typical High $57.54 | Professional | 26 · Professional part | $38.02 | $46.77 | $57.54 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $36.31 Typical High $44.67 | Professional | TC · Technical part | $28.18 | $36.31 | $44.67 |
United Setting Facility Modifier None Typical Low $75.86 Median $87.10 Typical High $107.15 | Facility | None | $75.86 | $87.10 | $107.15 |
United Setting Professional Modifier None (both parts) Typical Low $53.70 Median $77.62 Typical High $120.23 | Professional | None (both parts) | $53.70 | $77.62 | $120.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $42.66 Typical High $66.07 | Professional | 26 · Professional part | $27.54 | $42.66 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $35.48 Typical High $56.23 | Professional | TC · Technical part | $24.55 | $35.48 | $56.23 |
Univera Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $162.18 | Facility | None | $18.20 | $18.20 | $162.18 |
Univera Setting Facility Modifier TC · Technical part Typical Low $10.96 Median $10.96 Typical High $57.54 | Facility | TC · Technical part | $10.96 | $10.96 | $57.54 |
Univera Setting Professional Modifier None (both parts) Typical Low $57.54 Median $67.61 Typical High $97.72 | Professional | None (both parts) | $57.54 | $67.61 | $97.72 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $34.67 Typical High $50.12 | Professional | 26 · Professional part | $28.18 | $34.67 | $50.12 |
Univera Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $32.36 Typical High $47.86 | Professional | TC · Technical part | $27.54 | $32.36 | $47.86 |
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 $26.30 Median $26.30 Typical High $42.66 | Professional | 52 · Reduced service | $26.30 | $26.30 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $10.47 Typical High $16.98 | Professional | 53 · Discontinued | $10.47 | $10.47 | $16.98 |
Where New York sits
The same service costs 3.3 times more in Alaska 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· 46th of 51
$60.26
AK $162UT $48.98
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.