How much rates vary
Facilitymedian $65 · 10th to 90th $25 to $479Professionalmedian $58 · 10th to 90th $47 to $123
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 $52.48 Median $67.61 Typical High $114.82 | Facility | None | $52.48 | $67.61 | $114.82 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $24.55 Median $29.51 Typical High $51.29 | Facility | 26 · Professional part | $24.55 | $29.51 | $51.29 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $27.54 Median $38.90 Typical High $64.57 | Facility | TC · Technical part | $27.54 | $38.90 | $64.57 |
Aetna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $52.48 Typical High $87.10 | Professional | None (both parts) | $52.48 | $52.48 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $34.67 | Professional | 26 · Professional part | $24.55 | $24.55 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $27.54 Typical High $51.29 | Professional | TC · Technical part | $27.54 | $27.54 | $51.29 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None (both parts) | $50.12 | $50.12 | $50.12 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $46.77 Median $54.95 Typical High $72.44 | Professional | None (both parts) | $46.77 | $54.95 | $72.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $26.30 Typical High $30.90 | Professional | 26 · Professional part | $22.39 | $26.30 | $30.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $28.84 Typical High $44.67 | Professional | TC · Technical part | $24.55 | $28.84 | $44.67 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $40.74 Median $46.77 Typical High $87.10 | Professional | None (both parts) | $40.74 | $46.77 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $194.98 Typical High $478.63 | Facility | None | $112.20 | $194.98 | $478.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $72.44 Typical High $120.23 | Professional | None (both parts) | $70.79 | $72.44 | $120.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $51.29 | Professional | 26 · Professional part | $30.90 | $30.90 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $41.69 Typical High $74.13 | Professional | TC · Technical part | $38.02 | $41.69 | $74.13 |
Emblem Health Setting Facility Modifier None Typical Low $43.65 Median $51.29 Typical High $165.96 | Facility | None | $43.65 | $51.29 | $165.96 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $54.95 Median $83.18 Typical High $138.04 | Professional | None (both parts) | $54.95 | $83.18 | $138.04 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $33.88 Typical High $56.23 | Professional | 26 · Professional part | $21.38 | $33.88 | $56.23 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $50.12 Typical High $85.11 | Professional | TC · Technical part | $50.12 | $50.12 | $85.11 |
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 $47.86 Median $56.23 Typical High $70.79 | Professional | None (both parts) | $47.86 | $56.23 | $70.79 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $24.55 Typical High $30.90 | Professional | 26 · Professional part | $20.89 | $24.55 | $30.90 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $33.88 Typical High $39.81 | Professional | TC · Technical part | $26.92 | $33.88 | $39.81 |
Highmark BCBS Setting Facility Modifier None Typical Low $77.62 Median $489.78 Typical High $1,202.26 | Facility | None | $77.62 | $489.78 | $1,202.26 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $51.29 Median $74.13 Typical High $151.36 | Professional | None (both parts) | $51.29 | $74.13 | $151.36 |
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 $144.54 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $144.54 | $147.91 | $147.91 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $37.15 Typical High $45.71 | Professional | 26 · Professional part | $29.51 | $37.15 | $45.71 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $39.81 Typical High $54.95 | Professional | TC · Technical part | $30.20 | $39.81 | $54.95 |
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 $48.98 Median $58.88 Typical High $89.13 | Professional | None (both parts) | $48.98 | $58.88 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $26.92 Typical High $39.81 | Professional | 26 · Professional part | $20.42 | $26.92 | $39.81 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $31.62 Typical High $47.86 | Professional | TC · Technical part | $26.92 | $31.62 | $47.86 |
Univera Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $186.21 | Facility | None | $25.12 | $25.12 | $186.21 |
Univera Setting Facility Modifier TC · Technical part Typical Low $15.14 Median $15.14 Typical High $85.11 | Facility | TC · Technical part | $15.14 | $15.14 | $85.11 |
Univera Setting Professional Modifier None (both parts) Typical Low $47.86 Median $56.23 Typical High $70.79 | Professional | None (both parts) | $47.86 | $56.23 | $70.79 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $24.55 Typical High $30.90 | Professional | 26 · Professional part | $20.89 | $24.55 | $30.90 |
Univera Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $33.88 Typical High $39.81 | Professional | TC · Technical part | $26.92 | $33.88 | $39.81 |
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 $26.30 Median $26.30 Typical High $32.36 | Professional | 52 · Reduced service | $26.30 | $26.30 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $10.47 Typical High $12.88 | Professional | 53 · Discontinued | $10.47 | $10.47 | $12.88 |
Fidelis Setting Professional Modifier 59 · Distinct service Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 59 · Distinct service | $57.54 | $57.54 | $57.54 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $38.90 Typical High $52.48 | Professional | 53 · Discontinued | $29.51 | $38.90 | $52.48 |
Where New York sits
The same service costs 3.6 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· 48th of 51
$57.54
MN $141TX $38.90
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.