How much rates vary
Facilitymedian $60 · 10th to 90th $31 to $123Professionalmedian $31 · 10th to 90th $21 to $55
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 $26.30 Median $33.88 Typical High $74.13 | Facility | None | $26.30 | $33.88 | $74.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $26.30 Typical High $33.88 | Professional | None (both parts) | $26.30 | $26.30 | $33.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.47 Typical High $14.45 | Professional | 26 · Professional part | $10.47 | $10.47 | $14.45 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $16.22 Typical High $19.05 | Professional | TC · Technical part | $16.22 | $16.22 | $19.05 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $20.89 Median $30.20 Typical High $35.48 | Professional | None (both parts) | $20.89 | $30.20 | $35.48 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $12.88 Typical High $14.45 | Professional | 26 · Professional part | $10.96 | $12.88 | $14.45 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $18.62 Typical High $28.84 | Professional | TC · Technical part | $15.14 | $18.62 | $28.84 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $17.78 Median $23.99 Typical High $41.69 | Professional | None (both parts) | $17.78 | $23.99 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $79.43 Typical High $112.20 | Facility | None | $22.91 | $79.43 | $112.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $29.51 Typical High $83.18 | Professional | None (both parts) | $29.51 | $29.51 | $83.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.02 Typical High $30.20 | Professional | 26 · Professional part | $12.02 | $12.02 | $30.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $17.78 Typical High $53.70 | Professional | TC · Technical part | $17.38 | $17.78 | $53.70 |
Emblem Health Setting Facility Modifier None Typical Low $25.12 Median $51.29 Typical High $95.50 | Facility | None | $25.12 | $51.29 | $95.50 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $60.26 | Professional | None (both parts) | $39.81 | $39.81 | $60.26 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.45 Typical High $23.99 | Professional | 26 · Professional part | $14.45 | $14.45 | $23.99 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $25.12 Typical High $37.15 | Professional | TC · Technical part | $25.12 | $25.12 | $37.15 |
Excellus BCBS Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | TC · Technical part | $36.31 | $36.31 | $36.31 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $26.30 Median $31.62 Typical High $43.65 | Professional | None (both parts) | $26.30 | $31.62 | $43.65 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $12.02 Typical High $17.38 | Professional | 26 · Professional part | $10.23 | $12.02 | $17.38 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $19.50 Typical High $32.36 | Professional | TC · Technical part | $15.85 | $19.50 | $32.36 |
MVP Health Care Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $54.95 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $54.95 | $158.49 | $158.49 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $15.85 Typical High $19.50 | Professional | 26 · Professional part | $12.88 | $15.85 | $19.50 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $21.88 Typical High $26.92 | Professional | TC · Technical part | $16.98 | $21.88 | $26.92 |
United Setting Facility Modifier None Typical Low $117.49 Median $138.04 Typical High $169.82 | Facility | None | $117.49 | $138.04 | $169.82 |
United Setting Professional Modifier None (both parts) Typical Low $25.12 Median $37.15 Typical High $67.61 | Professional | None (both parts) | $25.12 | $37.15 | $67.61 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $14.45 Typical High $22.39 | Professional | 26 · Professional part | $9.55 | $14.45 | $22.39 |
United Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $21.88 Typical High $42.66 | Professional | TC · Technical part | $15.14 | $21.88 | $42.66 |
Univera Setting Facility Modifier None Typical Low $30.90 Median $60.26 Typical High $123.03 | Facility | None | $30.90 | $60.26 | $123.03 |
Univera Setting Facility Modifier TC · Technical part Typical Low $18.62 Median $36.31 Typical High $74.13 | Facility | TC · Technical part | $18.62 | $36.31 | $74.13 |
Univera Setting Professional Modifier None (both parts) Typical Low $26.30 Median $31.62 Typical High $43.65 | Professional | None (both parts) | $26.30 | $31.62 | $43.65 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $10.96 Typical High $16.22 | Professional | 26 · Professional part | $9.77 | $10.96 | $16.22 |
Univera Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $19.50 Typical High $32.36 | Professional | TC · Technical part | $15.85 | $19.50 | $32.36 |
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 $13.18 Median $13.18 Typical High $16.98 | Professional | 52 · Reduced service | $13.18 | $13.18 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.37 Typical High $6.76 | Professional | 53 · Discontinued | $5.37 | $5.37 | $6.76 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $19.05 Typical High $23.44 | Professional | 53 · Discontinued | $15.14 | $19.05 | $23.44 |
Where New York sits
The same service costs 2.6 times more in Minnesota than in Alabama. 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
$30.90
MN $74.13AL $28.18
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.