How much rates vary
Facilitymedian $59 · 10th to 90th $20 to $83Professionalmedian $29 · 10th to 90th $21 to $45
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 $23.99 Median $30.20 Typical High $72.44 | Facility | None | $23.99 | $30.20 | $72.44 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $6.31 Median $8.51 Typical High $19.50 | Facility | 26 · Professional part | $6.31 | $8.51 | $19.50 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $17.78 Median $21.88 Typical High $52.48 | Facility | TC · Technical part | $17.78 | $21.88 | $52.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $23.99 Typical High $42.66 | Professional | None (both parts) | $23.99 | $23.99 | $42.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $6.31 Typical High $11.48 | Professional | 26 · Professional part | $6.31 | $6.31 | $11.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $17.78 Typical High $30.20 | Professional | TC · Technical part | $17.78 | $17.78 | $30.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $19.50 Median $19.50 Typical High $25.70 | Professional | None (both parts) | $19.50 | $19.50 | $25.70 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $20.89 Median $27.54 Typical High $31.62 | Professional | None (both parts) | $20.89 | $27.54 | $31.62 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $7.59 Typical High $10.23 | Professional | 26 · Professional part | $6.46 | $7.59 | $10.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $20.89 Typical High $28.18 | Professional | TC · Technical part | $17.78 | $20.89 | $28.18 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $10.23 Median $26.92 Typical High $37.15 | Professional | None (both parts) | $10.23 | $26.92 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $123.03 | Facility | None | $40.74 | $40.74 | $123.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $28.84 Typical High $87.10 | Professional | None (both parts) | $26.30 | $28.84 | $87.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.41 Typical High $19.95 | Professional | 26 · Professional part | $7.08 | $7.41 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $21.38 Typical High $64.57 | Professional | TC · Technical part | $19.50 | $21.38 | $64.57 |
Emblem Health Setting Facility Modifier None Typical Low $14.45 Median $22.39 Typical High $70.79 | Facility | None | $14.45 | $22.39 | $70.79 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $44.67 | Professional | None (both parts) | $30.20 | $30.20 | $44.67 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.71 Typical High $14.45 | Professional | 26 · Professional part | $8.32 | $8.71 | $14.45 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $21.88 Typical High $32.36 | Professional | TC · Technical part | $21.88 | $21.88 | $32.36 |
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 $20.42 Median $25.12 Typical High $38.02 | Professional | None (both parts) | $20.42 | $25.12 | $38.02 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $7.08 Typical High $10.72 | Professional | 26 · Professional part | $5.89 | $7.08 | $10.72 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $17.78 Typical High $30.90 | Professional | TC · Technical part | $14.45 | $17.78 | $30.90 |
Fidelis Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $9.12 Typical High $10.72 | Professional | 26 · Professional part | $7.41 | $9.12 | $10.72 |
Highmark BCBS Setting Facility Modifier None Typical Low $47.86 Median $72.44 Typical High $316.23 | Facility | None | $47.86 | $72.44 | $316.23 |
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 $40.74 Median $44.67 Typical High $66.07 | Professional | None (both parts) | $40.74 | $44.67 | $66.07 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $9.55 Typical High $14.45 | Professional | 26 · Professional part | $7.76 | $9.55 | $14.45 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $25.12 Typical High $36.31 | Professional | TC · Technical part | $19.50 | $25.12 | $36.31 |
United Setting Professional Modifier None (both parts) Typical Low $20.89 Median $31.62 Typical High $63.10 | Professional | None (both parts) | $20.89 | $31.62 | $63.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $8.51 Typical High $16.60 | Professional | 26 · Professional part | $5.89 | $8.51 | $16.60 |
United Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $22.91 Typical High $46.77 | Professional | TC · Technical part | $15.14 | $22.91 | $46.77 |
Univera Setting Facility Modifier None Typical Low $23.99 Median $60.26 Typical High $102.33 | Facility | None | $23.99 | $60.26 | $102.33 |
Univera Setting Facility Modifier TC · Technical part Typical Low $17.38 Median $36.31 Typical High $77.62 | Facility | TC · Technical part | $17.38 | $36.31 | $77.62 |
Univera Setting Professional Modifier None (both parts) Typical Low $20.42 Median $25.12 Typical High $38.02 | Professional | None (both parts) | $20.42 | $25.12 | $38.02 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $7.08 Typical High $10.72 | Professional | 26 · Professional part | $5.89 | $7.08 | $10.72 |
Univera Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $17.78 Typical High $30.90 | Professional | TC · Technical part | $14.45 | $17.78 | $30.90 |
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 $12.02 Median $12.02 Typical High $15.14 | Professional | 52 · Reduced service | $12.02 | $12.02 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $4.79 Typical High $6.03 | Professional | 53 · Discontinued | $4.79 | $4.79 | $6.03 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $17.38 Typical High $25.70 | Professional | 53 · Discontinued | $13.49 | $17.38 | $25.70 |
Where New York sits
The same service costs 2.7 times more in Minnesota than in Maryland. 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
$28.84
MN $69.18MD $25.70
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.