How much rates vary
Facilitymedian $151 · 10th to 90th $72 to $437Professionalmedian $120 · 10th to 90th $98 to $219
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 $125.89 Median $151.36 Typical High $371.54 | Facility | None | $125.89 | $151.36 | $371.54 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $19.95 Median $25.12 Typical High $63.10 | Facility | 26 · Professional part | $19.95 | $25.12 | $63.10 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $104.71 Median $125.89 Typical High $309.03 | Facility | TC · Technical part | $104.71 | $125.89 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $223.87 | Professional | None (both parts) | $125.89 | $125.89 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $19.95 Typical High $33.11 | Professional | 26 · Professional part | $19.95 | $19.95 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $104.71 Typical High $194.98 | Professional | TC · Technical part | $104.71 | $104.71 | $194.98 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $75.86 Median $102.33 Typical High $138.04 | Professional | None (both parts) | $75.86 | $102.33 | $138.04 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $97.72 Median $114.82 Typical High $186.21 | Professional | None (both parts) | $97.72 | $114.82 | $186.21 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $19.95 Typical High $28.84 | Professional | 26 · Professional part | $16.98 | $19.95 | $28.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $95.50 Typical High $154.88 | Professional | TC · Technical part | $81.28 | $95.50 | $154.88 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $30.90 Median $154.88 Typical High $186.21 | Professional | None (both parts) | $30.90 | $154.88 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $331.13 Typical High $436.52 | Facility | None | $208.93 | $331.13 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $165.96 Typical High $489.78 | Professional | None (both parts) | $100.00 | $165.96 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $19.50 Typical High $56.23 | Professional | 26 · Professional part | $17.38 | $19.50 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $123.03 Typical High $575.44 | Professional | TC · Technical part | $91.20 | $123.03 | $575.44 |
Emblem Health Setting Facility Modifier None Typical Low $89.13 Median $138.04 Typical High $446.68 | Facility | None | $89.13 | $138.04 | $446.68 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $239.88 | Professional | None (both parts) | $134.90 | $134.90 | $239.88 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $22.91 Typical High $177.83 | Professional | 26 · Professional part | $21.38 | $22.91 | $177.83 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $199.53 | Professional | TC · Technical part | $114.82 | $114.82 | $199.53 |
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 $107.15 Median $125.89 Typical High $181.97 | Professional | None (both parts) | $107.15 | $125.89 | $181.97 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $20.42 Typical High $30.20 | Professional | 26 · Professional part | $17.38 | $20.42 | $30.20 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $107.15 Typical High $151.36 | Professional | TC · Technical part | $89.13 | $107.15 | $151.36 |
Highmark BCBS Setting Facility Modifier None Typical Low $165.96 Median $263.03 Typical High $602.56 | Facility | None | $165.96 | $263.03 | $602.56 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $162.18 Typical High $208.93 | Professional | None (both parts) | $120.23 | $162.18 | $208.93 |
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 $104.71 Median $104.71 Typical High $331.13 | Professional | None (both parts) | $104.71 | $104.71 | $331.13 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $28.84 Typical High $42.66 | Professional | 26 · Professional part | $22.91 | $28.84 | $42.66 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $144.54 Typical High $218.78 | Professional | TC · Technical part | $112.20 | $144.54 | $218.78 |
United Setting Facility Modifier None Typical Low $436.52 Median $501.19 Typical High $616.60 | Facility | None | $436.52 | $501.19 | $616.60 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $134.90 Typical High $257.04 | Professional | None (both parts) | $107.15 | $134.90 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $22.39 Typical High $40.74 | Professional | 26 · Professional part | $16.98 | $22.39 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $112.20 Typical High $218.78 | Professional | TC · Technical part | $89.13 | $112.20 | $218.78 |
Univera Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $407.38 | Facility | None | $72.44 | $72.44 | $407.38 |
Univera Setting Facility Modifier TC · Technical part Typical Low $43.65 Median $43.65 Typical High $346.74 | Facility | TC · Technical part | $43.65 | $43.65 | $346.74 |
Univera Setting Professional Modifier None (both parts) Typical Low $107.15 Median $125.89 Typical High $173.78 | Professional | None (both parts) | $107.15 | $125.89 | $173.78 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $18.20 Typical High $30.20 | Professional | 26 · Professional part | $17.38 | $18.20 | $30.20 |
Univera Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $107.15 Typical High $144.54 | Professional | TC · Technical part | $89.13 | $107.15 | $144.54 |
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 $63.10 Median $63.10 Typical High $75.86 | Professional | 52 · Reduced service | $63.10 | $63.10 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $30.20 | Professional | 53 · Discontinued | $25.12 | $25.12 | $30.20 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $169.82 Median $204.17 Typical High $204.17 | Professional | GL · Free upgrade | $169.82 | $204.17 | $204.17 |
Fidelis Setting Professional Modifier 59 · Distinct service Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 59 · Distinct service | $138.04 | $138.04 | $138.04 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $87.10 Typical High $131.83 | Professional | 53 · Discontinued | $67.61 | $87.10 | $131.83 |
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
$120
AK $316UT $95.50
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.