How much rates vary
Facilitymedian $33 · 10th to 90th $22 to $100Professionalmedian $27 · 10th to 90th $21 to $68
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 $22.91 Median $28.18 Typical High $67.61 | Facility | None | $22.91 | $28.18 | $67.61 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $2.63 Median $3.63 Typical High $8.13 | Facility | 26 · Professional part | $2.63 | $3.63 | $8.13 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $19.95 Median $24.55 Typical High $60.26 | Facility | TC · Technical part | $19.95 | $24.55 | $60.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $22.91 Typical High $45.71 | Professional | None (both parts) | $22.91 | $22.91 | $45.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2.63 Median $2.63 Typical High $5.01 | Professional | 26 · Professional part | $2.63 | $2.63 | $5.01 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $19.95 Typical High $39.81 | Professional | TC · Technical part | $19.95 | $19.95 | $39.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $10.00 Median $23.99 Typical High $35.48 | Professional | None (both parts) | $10.00 | $23.99 | $35.48 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $22.91 Median $26.92 Typical High $36.31 | Professional | None (both parts) | $22.91 | $26.92 | $36.31 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $2.57 Median $3.02 Typical High $5.01 | Professional | 26 · Professional part | $2.57 | $3.02 | $5.01 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $23.99 Typical High $31.62 | Professional | TC · Technical part | $19.95 | $23.99 | $31.62 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $4.47 Median $30.90 Typical High $34.67 | Professional | None (both parts) | $4.47 | $30.90 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $138.04 | Facility | None | $37.15 | $37.15 | $138.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $27.54 Typical High $134.90 | Professional | None (both parts) | $24.55 | $27.54 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $2.82 Median $3.31 Typical High $8.51 | Professional | 26 · Professional part | $2.82 | $3.31 | $8.51 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $26.30 Typical High $173.78 | Professional | TC · Technical part | $21.88 | $26.30 | $173.78 |
Emblem Health Setting Facility Modifier None Typical Low $16.22 Median $25.12 Typical High $81.28 | Facility | None | $16.22 | $25.12 | $81.28 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $51.29 Median $60.26 Typical High $60.26 | Professional | None (both parts) | $51.29 | $60.26 | $60.26 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $3.72 Median $3.89 Typical High $7.08 | Professional | 26 · Professional part | $3.72 | $3.89 | $7.08 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $24.55 Typical High $36.31 | Professional | TC · Technical part | $24.55 | $24.55 | $36.31 |
Excellus BCBS Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $19.95 Median $19.95 Typical High $19.95 | Facility | TC · Technical part | $19.95 | $19.95 | $19.95 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $19.05 Median $22.91 Typical High $37.15 | Professional | None (both parts) | $19.05 | $22.91 | $37.15 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $2.57 Median $3.31 Typical High $4.37 | Professional | 26 · Professional part | $2.57 | $3.31 | $4.37 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $19.50 Typical High $33.88 | Professional | TC · Technical part | $16.22 | $19.50 | $33.88 |
Fidelis Setting Professional Modifier 26 · Professional part Typical Low $3.09 Median $3.24 Typical High $4.79 | Professional | 26 · Professional part | $3.09 | $3.24 | $4.79 |
Highmark BCBS Setting Facility Modifier None Typical Low $33.11 Median $141.25 Typical High $407.38 | Facility | None | $33.11 | $141.25 | $407.38 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $32.36 Median $48.98 Typical High $50.12 | Professional | None (both parts) | $32.36 | $48.98 | $50.12 |
MVP Health Care Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $38.90 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $38.90 | $79.43 | $79.43 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $3.39 Median $4.17 Typical High $6.17 | Professional | 26 · Professional part | $3.39 | $4.17 | $6.17 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $28.18 Typical High $40.74 | Professional | TC · Technical part | $21.88 | $28.18 | $40.74 |
United Setting Professional Modifier None (both parts) Typical Low $19.50 Median $29.51 Typical High $79.43 | Professional | None (both parts) | $19.50 | $29.51 | $79.43 |
United Setting Professional Modifier 26 · Professional part Typical Low $2.57 Median $3.55 Typical High $6.92 | Professional | 26 · Professional part | $2.57 | $3.55 | $6.92 |
United Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $25.70 Typical High $56.23 | Professional | TC · Technical part | $16.98 | $25.70 | $56.23 |
Univera Setting Facility Modifier None Typical Low $22.39 Median $33.11 Typical High $87.10 | Facility | None | $22.39 | $33.11 | $87.10 |
Univera Setting Facility Modifier TC · Technical part Typical Low $19.05 Median $19.95 Typical High $75.86 | Facility | TC · Technical part | $19.05 | $19.95 | $75.86 |
Univera Setting Professional Modifier None (both parts) Typical Low $19.05 Median $23.44 Typical High $37.15 | Professional | None (both parts) | $19.05 | $23.44 | $37.15 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $2.57 Median $3.16 Typical High $4.27 | Professional | 26 · Professional part | $2.57 | $3.16 | $4.27 |
Univera Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $19.95 Typical High $33.88 | Professional | TC · Technical part | $16.22 | $19.95 | $33.88 |
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 $11.22 Median $11.22 Typical High $14.13 | Professional | 52 · Reduced service | $11.22 | $11.22 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $4.57 Typical High $5.62 | Professional | 53 · Discontinued | $4.57 | $4.57 | $5.62 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $16.22 Typical High $23.44 | Professional | 53 · Discontinued | $12.59 | $16.22 | $23.44 |
Where New York sits
The same service costs 2.9 times more in Kansas 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· 48th of 51
$26.92
KS $74.13MD $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.