How much rates vary
Facilitymedian $95 · 10th to 90th $72 to $295Professionalmedian $78 · 10th to 90th $63 to $138
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 $79.43 Median $85.11 Typical High $234.42 | Facility | None | $79.43 | $85.11 | $234.42 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $11.22 Median $12.59 Typical High $34.67 | Facility | 26 · Professional part | $11.22 | $12.59 | $34.67 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $69.18 Median $72.44 Typical High $204.17 | Facility | TC · Technical part | $69.18 | $72.44 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $144.54 | Professional | None (both parts) | $79.43 | $79.43 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.22 Typical High $18.20 | Professional | 26 · Professional part | $11.22 | $11.22 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $128.82 | Professional | TC · Technical part | $69.18 | $69.18 | $128.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $54.95 Median $75.86 Typical High $91.20 | Professional | None (both parts) | $54.95 | $75.86 | $91.20 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $63.10 Median $74.13 Typical High $120.23 | Professional | None (both parts) | $63.10 | $74.13 | $120.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.96 Typical High $16.60 | Professional | 26 · Professional part | $9.33 | $10.96 | $16.60 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $63.10 Typical High $102.33 | Professional | TC · Technical part | $52.48 | $63.10 | $102.33 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $17.78 Median $102.33 Typical High $120.23 | Professional | None (both parts) | $17.78 | $102.33 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $213.80 Typical High $281.84 | Facility | None | $158.49 | $213.80 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $104.71 Typical High $309.03 | Professional | None (both parts) | $64.57 | $104.71 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $10.72 Typical High $32.36 | Professional | 26 · Professional part | $9.55 | $10.72 | $32.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $79.43 Typical High $371.54 | Professional | TC · Technical part | $58.88 | $79.43 | $371.54 |
Emblem Health Setting Facility Modifier None Typical Low $57.54 Median $87.10 Typical High $281.84 | Facility | None | $57.54 | $87.10 | $281.84 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $147.91 | Professional | None (both parts) | $100.00 | $100.00 | $147.91 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $13.80 Typical High $117.49 | Professional | 26 · Professional part | $13.80 | $13.80 | $117.49 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $128.82 | Professional | TC · Technical part | $87.10 | $87.10 | $128.82 |
Excellus BCBS Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $43.65 Median $43.65 Typical High $43.65 | Facility | TC · Technical part | $43.65 | $43.65 | $43.65 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $67.61 Median $79.43 Typical High $114.82 | Professional | None (both parts) | $67.61 | $79.43 | $114.82 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $10.00 Typical High $16.98 | Professional | 26 · Professional part | $9.55 | $10.00 | $16.98 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $67.61 Typical High $100.00 | Professional | TC · Technical part | $57.54 | $67.61 | $100.00 |
Highmark BCBS Setting Facility Modifier None Typical Low $141.25 Median $173.78 Typical High $602.56 | Facility | None | $141.25 | $173.78 | $602.56 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $91.20 Median $109.65 Typical High $134.90 | Professional | None (both parts) | $91.20 | $109.65 | $134.90 |
MVP Health Care Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $213.80 | Professional | None (both parts) | $83.18 | $83.18 | $213.80 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $16.60 Typical High $23.44 | Professional | 26 · Professional part | $13.18 | $16.60 | $23.44 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $93.33 Typical High $141.25 | Professional | TC · Technical part | $74.13 | $93.33 | $141.25 |
United Setting Facility Modifier None Typical Low $269.15 Median $309.03 Typical High $380.19 | Facility | None | $269.15 | $309.03 | $380.19 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $87.10 Typical High $162.18 | Professional | None (both parts) | $67.61 | $87.10 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $12.59 Typical High $23.44 | Professional | 26 · Professional part | $9.55 | $12.59 | $23.44 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $74.13 Typical High $141.25 | Professional | TC · Technical part | $57.54 | $74.13 | $141.25 |
Univera Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $257.04 | Facility | None | $72.44 | $72.44 | $257.04 |
Univera Setting Facility Modifier TC · Technical part Typical Low $43.65 Median $43.65 Typical High $218.78 | Facility | TC · Technical part | $43.65 | $43.65 | $218.78 |
Univera Setting Professional Modifier None (both parts) Typical Low $67.61 Median $79.43 Typical High $114.82 | Professional | None (both parts) | $67.61 | $79.43 | $114.82 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $10.00 Typical High $16.98 | Professional | 26 · Professional part | $9.55 | $10.00 | $16.98 |
Univera Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $67.61 Typical High $100.00 | Professional | TC · Technical part | $57.54 | $67.61 | $100.00 |
5 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 $39.81 Median $39.81 Typical High $47.86 | Professional | 52 · Reduced service | $39.81 | $39.81 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.22 Typical High $19.50 | Professional | 53 · Discontinued | $16.22 | $16.22 | $19.50 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $109.65 Median $131.83 Typical High $131.83 | Professional | GL · Free upgrade | $109.65 | $131.83 | $131.83 |
Fidelis Setting Professional Modifier 59 · Distinct service Typical Low $95.50 Median $95.50 Typical High $104.71 | Professional | 59 · Distinct service | $95.50 | $95.50 | $104.71 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $54.95 Typical High $83.18 | Professional | 53 · Discontinued | $43.65 | $54.95 | $83.18 |
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· 48th of 51
$77.62
AK $209UT $63.10
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.