How much rates vary
Facilitymedian $31 · 10th to 90th $15 to $288Professionalmedian $30 · 10th to 90th $22 to $62
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 $27.54 Median $32.36 Typical High $75.86 | Facility | None | $27.54 | $32.36 | $75.86 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.24 Median $9.33 Typical High $19.05 | Facility | 26 · Professional part | $7.24 | $9.33 | $19.05 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $19.05 Median $25.12 Typical High $53.70 | Facility | TC · Technical part | $19.05 | $25.12 | $53.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $32.36 Typical High $41.69 | Professional | None (both parts) | $27.54 | $32.36 | $41.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $7.24 Typical High $10.96 | Professional | 26 · Professional part | $7.24 | $7.24 | $10.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $25.12 Typical High $30.20 | Professional | TC · Technical part | $19.05 | $25.12 | $30.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.99 Median $28.18 Typical High $33.88 | Professional | None (both parts) | $23.99 | $28.18 | $33.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $21.88 Median $27.54 Typical High $33.11 | Professional | None (both parts) | $21.88 | $27.54 | $33.11 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $7.94 Typical High $10.23 | Professional | 26 · Professional part | $6.76 | $7.94 | $10.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $19.50 Typical High $24.55 | Professional | TC · Technical part | $16.60 | $19.50 | $24.55 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $11.75 Median $29.51 Typical High $41.69 | Professional | None (both parts) | $11.75 | $29.51 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $131.83 Typical High $177.83 | Facility | None | $47.86 | $131.83 | $177.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $33.88 Typical High $66.07 | Professional | None (both parts) | $32.36 | $33.88 | $66.07 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $9.33 Typical High $15.49 | Professional | 26 · Professional part | $9.33 | $9.33 | $15.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $23.99 Typical High $50.12 | Professional | TC · Technical part | $22.91 | $23.99 | $50.12 |
Emblem Health Setting Facility Modifier None Typical Low $16.98 Median $26.30 Typical High $85.11 | Facility | None | $16.98 | $26.30 | $85.11 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $27.54 Median $35.48 Typical High $58.88 | Professional | None (both parts) | $27.54 | $35.48 | $58.88 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $9.77 Typical High $16.22 | Professional | 26 · Professional part | $6.31 | $9.77 | $16.22 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $25.70 Typical High $44.67 | Professional | TC · Technical part | $25.70 | $25.70 | $44.67 |
Excellus BCBS Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $9.12 Median $9.12 Typical High $9.12 | Facility | TC · Technical part | $9.12 | $9.12 | $9.12 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $5.25 Median $26.30 Typical High $30.20 | Professional | None (both parts) | $5.25 | $26.30 | $30.20 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $5.25 Median $7.24 Typical High $9.12 | Professional | 26 · Professional part | $5.25 | $7.24 | $9.12 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $5.25 Median $18.62 Typical High $20.89 | Professional | TC · Technical part | $5.25 | $18.62 | $20.89 |
Highmark BCBS Setting Facility Modifier None Typical Low $51.29 Median $251.19 Typical High $630.96 | Facility | None | $51.29 | $251.19 | $630.96 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $25.12 Median $38.90 Typical High $64.57 | Professional | None (both parts) | $25.12 | $38.90 | $64.57 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.96 Typical High $17.38 | Professional | 26 · Professional part | $7.59 | $10.96 | $17.38 |
MVP Health Care Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None (both parts) | $75.86 | $75.86 | $75.86 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.96 Typical High $13.80 | Professional | 26 · Professional part | $8.71 | $10.96 | $13.80 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $35.48 Typical High $40.74 | Professional | TC · Technical part | $26.92 | $35.48 | $40.74 |
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 $22.39 Median $35.48 Typical High $51.29 | Professional | None (both parts) | $22.39 | $35.48 | $51.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $8.13 Typical High $12.02 | Professional | 26 · Professional part | $6.03 | $8.13 | $12.02 |
United Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $26.92 Typical High $38.90 | Professional | TC · Technical part | $16.22 | $26.92 | $38.90 |
Univera Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $87.10 | Facility | None | $15.14 | $15.14 | $87.10 |
Univera Setting Facility Modifier TC · Technical part Typical Low $9.12 Median $9.12 Typical High $60.26 | Facility | TC · Technical part | $9.12 | $9.12 | $60.26 |
Univera Setting Professional Modifier None (both parts) Typical Low $5.25 Median $26.92 Typical High $30.20 | Professional | None (both parts) | $5.25 | $26.92 | $30.20 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $5.25 Median $6.92 Typical High $9.12 | Professional | 26 · Professional part | $5.25 | $6.92 | $9.12 |
Univera Setting Professional Modifier TC · Technical part Typical Low $5.25 Median $20.42 Typical High $20.89 | Professional | TC · Technical part | $5.25 | $20.42 | $20.89 |
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 $13.80 Median $16.22 Typical High $16.22 | Professional | 52 · Reduced service | $13.80 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $6.46 Typical High $6.46 | Professional | 53 · Discontinued | $5.62 | $6.46 | $6.46 |
Fidelis Setting Professional Modifier 59 · Distinct service Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 59 · Distinct service | $28.84 | $28.84 | $28.84 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $22.91 Typical High $27.54 | Professional | 53 · Discontinued | $17.78 | $22.91 | $27.54 |
Where New York sits
The same service costs 2.5 times more in Minnesota than in Texas. 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· 47th of 51
$29.51
MN $67.61TX $26.92
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.