How much rates vary
Facilitymedian $141 · 10th to 90th $93 to $380Professionalmedian $110 · 10th to 90th $91 to $200
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 $109.65 Median $138.04 Typical High $218.78 | Facility | None | $109.65 | $138.04 | $218.78 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $19.50 Median $22.39 Typical High $38.90 | Facility | 26 · Professional part | $19.50 | $22.39 | $38.90 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $89.13 Median $117.49 Typical High $223.87 | Facility | TC · Technical part | $89.13 | $117.49 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $112.20 Typical High $194.98 | Professional | None (both parts) | $109.65 | $112.20 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $20.42 Typical High $32.36 | Professional | 26 · Professional part | $19.50 | $20.42 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $93.33 Typical High $158.49 | Professional | TC · Technical part | $89.13 | $93.33 | $158.49 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $83.18 Median $89.13 Typical High $120.23 | Professional | None (both parts) | $83.18 | $89.13 | $120.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $91.20 Median $107.15 Typical High $169.82 | Professional | None (both parts) | $91.20 | $107.15 | $169.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $18.20 Typical High $28.84 | Professional | 26 · Professional part | $15.49 | $18.20 | $28.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $89.13 Typical High $134.90 | Professional | TC · Technical part | $75.86 | $89.13 | $134.90 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $30.90 Median $141.25 Typical High $173.78 | Professional | None (both parts) | $30.90 | $141.25 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $302.00 Typical High $398.11 | Facility | None | $181.97 | $302.00 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $151.36 Typical High $446.68 | Professional | None (both parts) | $87.10 | $151.36 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $18.20 Typical High $56.23 | Professional | 26 · Professional part | $15.85 | $18.20 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $112.20 Typical High $501.19 | Professional | TC · Technical part | $70.79 | $112.20 | $501.19 |
Emblem Health Setting Facility Modifier None Typical Low $75.86 Median $117.49 Typical High $380.19 | Facility | None | $75.86 | $117.49 | $380.19 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $204.17 | Professional | None (both parts) | $138.04 | $138.04 | $204.17 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $23.99 Typical High $162.18 | Professional | 26 · Professional part | $22.91 | $23.99 | $162.18 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $169.82 | Professional | TC · Technical part | $114.82 | $114.82 | $169.82 |
Excellus BCBS Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | TC · Technical part | $56.23 | $56.23 | $56.23 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $93.33 Median $104.71 Typical High $169.82 | Professional | None (both parts) | $93.33 | $104.71 | $169.82 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $18.20 Typical High $30.20 | Professional | 26 · Professional part | $16.98 | $18.20 | $30.20 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $85.11 Typical High $138.04 | Professional | TC · Technical part | $77.62 | $85.11 | $138.04 |
Fidelis Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $134.90 | Professional | None (both parts) | $123.03 | $123.03 | $134.90 |
Highmark BCBS Setting Facility Modifier None Typical Low $112.20 Median $177.83 Typical High $912.01 | Facility | None | $112.20 | $177.83 | $912.01 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $114.82 Median $181.97 Typical High $354.81 | Facility | TC · Technical part | $114.82 | $181.97 | $354.81 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $141.25 Typical High $199.53 | Professional | None (both parts) | $109.65 | $141.25 | $199.53 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $26.92 Typical High $45.71 | Professional | 26 · Professional part | $19.50 | $26.92 | $45.71 |
MVP Health Care Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $302.00 | Professional | None (both parts) | $128.82 | $128.82 | $302.00 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $28.84 Typical High $42.66 | Professional | 26 · Professional part | $23.44 | $28.84 | $42.66 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $128.82 Typical High $194.98 | Professional | TC · Technical part | $102.33 | $128.82 | $194.98 |
United Setting Facility Modifier None Typical Low $208.93 Median $245.47 Typical High $302.00 | Facility | None | $208.93 | $245.47 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $123.03 Typical High $229.09 | Professional | None (both parts) | $95.50 | $123.03 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $21.38 Typical High $39.81 | Professional | 26 · Professional part | $16.22 | $21.38 | $39.81 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $102.33 Typical High $190.55 | Professional | TC · Technical part | $79.43 | $102.33 | $190.55 |
Univera Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $371.54 | Facility | None | $93.33 | $93.33 | $371.54 |
Univera Setting Facility Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $302.00 | Facility | TC · Technical part | $56.23 | $56.23 | $302.00 |
Univera Setting Professional Modifier None (both parts) Typical Low $93.33 Median $109.65 Typical High $169.82 | Professional | None (both parts) | $93.33 | $109.65 | $169.82 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $18.20 Typical High $30.20 | Professional | 26 · Professional part | $16.98 | $18.20 | $30.20 |
Univera Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $91.20 Typical High $138.04 | Professional | TC · Technical part | $77.62 | $91.20 | $138.04 |
4 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 $53.70 Median $53.70 Typical High $70.79 | Professional | 52 · Reduced service | $53.70 | $53.70 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $28.18 | Professional | 53 · Discontinued | $21.88 | $21.88 | $28.18 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $151.36 Median $181.97 Typical High $181.97 | Professional | GL · Free upgrade | $151.36 | $181.97 | $181.97 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $79.43 Typical High $120.23 | Professional | 53 · Discontinued | $61.66 | $79.43 | $120.23 |
Where New York sits
The same service costs 4.0 times more in Minnesota 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· 49th of 51
$110
MN $380UT $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.