How much rates vary
Facilitymedian $54 · 10th to 90th $25 to $933Professionalmedian $43 · 10th to 90th $34 to $93
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 $40.74 Median $53.70 Typical High $109.65 | Facility | None | $40.74 | $53.70 | $109.65 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $10.72 Median $12.02 Typical High $23.44 | Facility | 26 · Professional part | $10.72 | $12.02 | $23.44 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $29.51 Median $40.74 Typical High $83.18 | Facility | TC · Technical part | $29.51 | $40.74 | $83.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $53.70 Typical High $67.61 | Professional | None (both parts) | $40.74 | $53.70 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $10.96 Typical High $15.49 | Professional | 26 · Professional part | $10.72 | $10.96 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $42.66 Typical High $51.29 | Professional | TC · Technical part | $29.51 | $42.66 | $51.29 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $37.15 Median $43.65 Typical High $50.12 | Professional | None (both parts) | $37.15 | $43.65 | $50.12 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $11.22 Typical High $15.85 | Professional | 26 · Professional part | $9.12 | $11.22 | $15.85 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $33.88 Median $39.81 Typical High $48.98 | Professional | None (both parts) | $33.88 | $39.81 | $48.98 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.77 Typical High $12.30 | Professional | 26 · Professional part | $8.32 | $9.77 | $12.30 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $30.20 Typical High $38.90 | Professional | TC · Technical part | $25.70 | $30.20 | $38.90 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $14.79 Median $50.12 Typical High $64.57 | Professional | None (both parts) | $14.79 | $50.12 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $204.17 Typical High $288.40 | Facility | None | $85.11 | $204.17 | $288.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $48.98 Typical High $112.20 | Professional | None (both parts) | $46.77 | $48.98 | $112.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $12.02 Typical High $22.91 | Professional | 26 · Professional part | $11.48 | $12.02 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $37.15 Typical High $85.11 | Professional | TC · Technical part | $35.48 | $37.15 | $85.11 |
Emblem Health Setting Facility Modifier None Typical Low $34.67 Median $67.61 Typical High $6,165.95 | Facility | None | $34.67 | $67.61 | $6,165.95 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $46.77 Median $52.48 Typical High $87.10 | Professional | None (both parts) | $46.77 | $52.48 | $87.10 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $12.02 Typical High $19.95 | Professional | 26 · Professional part | $10.72 | $12.02 | $19.95 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $39.81 Typical High $69.18 | Professional | TC · Technical part | $39.81 | $39.81 | $69.18 |
Excellus BCBS Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | TC · Technical part | $15.14 | $15.14 | $15.14 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $32.36 Median $41.69 Typical High $48.98 | Professional | None (both parts) | $32.36 | $41.69 | $48.98 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.00 Typical High $12.59 | Professional | 26 · Professional part | $8.51 | $10.00 | $12.59 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $30.90 Typical High $35.48 | Professional | TC · Technical part | $23.99 | $30.90 | $35.48 |
Highmark BCBS Setting Facility Modifier None Typical Low $87.10 Median $416.87 Typical High $1,047.13 | Facility | None | $87.10 | $416.87 | $1,047.13 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $66.07 Median $407.38 Typical High $758.58 | Facility | TC · Technical part | $66.07 | $407.38 | $758.58 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $36.31 Median $61.66 Typical High $93.33 | Professional | None (both parts) | $36.31 | $61.66 | $93.33 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $14.13 Typical High $24.55 | Professional | 26 · Professional part | $9.55 | $14.13 | $24.55 |
MVP Health Care Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $93.33 | $93.33 | $93.33 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $16.98 Typical High $20.42 | Professional | 26 · Professional part | $13.49 | $16.98 | $20.42 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $58.88 Typical High $69.18 | Professional | TC · Technical part | $45.71 | $58.88 | $69.18 |
United Setting Facility Modifier None Typical Low $758.58 Median $870.96 Typical High $1,071.52 | Facility | None | $758.58 | $870.96 | $1,071.52 |
United Setting Professional Modifier None (both parts) Typical Low $33.11 Median $58.88 Typical High $85.11 | Professional | None (both parts) | $33.11 | $58.88 | $85.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $12.30 Typical High $18.20 | Professional | 26 · Professional part | $7.94 | $12.30 | $18.20 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $45.71 Typical High $66.07 | Professional | TC · Technical part | $25.12 | $45.71 | $66.07 |
Univera Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $123.03 | Facility | None | $25.12 | $25.12 | $123.03 |
Univera Setting Facility Modifier TC · Technical part Typical Low $15.14 Median $15.14 Typical High $91.20 | Facility | TC · Technical part | $15.14 | $15.14 | $91.20 |
Univera Setting Professional Modifier None (both parts) Typical Low $32.36 Median $41.69 Typical High $48.98 | Professional | None (both parts) | $32.36 | $41.69 | $48.98 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.00 Typical High $12.59 | Professional | 26 · Professional part | $8.51 | $10.00 | $12.59 |
Univera Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $30.90 Typical High $36.31 | Professional | TC · Technical part | $23.99 | $30.90 | $36.31 |
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 $20.42 Median $26.92 Typical High $26.92 | Professional | 52 · Reduced service | $20.42 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $10.72 Typical High $10.72 | Professional | 53 · Discontinued | $8.13 | $10.72 | $10.72 |
Fidelis Setting Professional Modifier XE · Separate encounter Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | XE · Separate encounter | $42.66 | $42.66 | $42.66 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $38.02 Typical High $44.67 | Professional | 53 · Discontinued | $29.51 | $38.02 | $44.67 |
Where New York sits
The same service costs 3.3 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· 46th of 51
$42.66
MN $105UT $31.62
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.