How much rates vary
Facilitymedian $30 · 10th to 90th $15 to $158Professionalmedian $38 · 10th to 90th $33 to $51
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 $34.67 Median $44.67 Typical High $107.15 | Facility | None | $34.67 | $44.67 | $107.15 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $12.59 Median $16.98 Typical High $38.90 | Facility | 26 · Professional part | $12.59 | $16.98 | $38.90 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $21.88 Median $27.54 Typical High $100.00 | Facility | TC · Technical part | $21.88 | $27.54 | $100.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $52.48 | Professional | None (both parts) | $34.67 | $34.67 | $52.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.59 Typical High $16.98 | Professional | 26 · Professional part | $12.59 | $12.59 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $21.88 Typical High $35.48 | Professional | TC · Technical part | $21.88 | $21.88 | $35.48 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $34.67 Median $38.02 Typical High $43.65 | Professional | None (both parts) | $34.67 | $38.02 | $43.65 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $33.11 Median $38.90 Typical High $44.67 | Professional | None (both parts) | $33.11 | $38.90 | $44.67 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $13.49 Typical High $15.85 | Professional | 26 · Professional part | $11.48 | $13.49 | $15.85 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $25.12 Typical High $28.84 | Professional | TC · Technical part | $21.38 | $25.12 | $28.84 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $20.42 Median $33.88 Typical High $54.95 | Professional | None (both parts) | $20.42 | $33.88 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $131.83 Typical High $177.83 | Facility | None | $67.61 | $131.83 | $177.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $45.71 Typical High $74.13 | Professional | None (both parts) | $45.71 | $45.71 | $74.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $15.85 Typical High $26.92 | Professional | 26 · Professional part | $15.85 | $15.85 | $26.92 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $29.51 Typical High $46.77 | Professional | TC · Technical part | $29.51 | $29.51 | $46.77 |
Emblem Health Setting Facility Modifier None Typical Low $12.88 Median $31.62 Typical High $109.65 | Facility | None | $12.88 | $31.62 | $109.65 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $33.88 Median $50.12 Typical High $83.18 | Professional | None (both parts) | $33.88 | $50.12 | $83.18 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $16.98 Typical High $27.54 | Professional | 26 · Professional part | $10.96 | $16.98 | $27.54 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $33.11 Typical High $57.54 | Professional | TC · Technical part | $33.11 | $33.11 | $57.54 |
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 $30.20 Median $38.02 Typical High $48.98 | Professional | None (both parts) | $30.20 | $38.02 | $48.98 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $14.13 Typical High $17.78 | Professional | 26 · Professional part | $10.72 | $14.13 | $17.78 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $23.99 Typical High $30.90 | Professional | TC · Technical part | $19.05 | $23.99 | $30.90 |
Fidelis Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | 26 · Professional part | $14.13 | $14.13 | $14.13 |
Highmark BCBS Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $776.25 | Facility | None | $426.58 | $426.58 | $776.25 |
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 $33.88 Median $33.88 Typical High $53.70 | Professional | None (both parts) | $33.88 | $33.88 | $53.70 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $19.50 Typical High $23.44 | Professional | 26 · Professional part | $15.14 | $19.50 | $23.44 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $31.62 Typical High $41.69 | Professional | TC · Technical part | $23.99 | $31.62 | $41.69 |
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 $29.51 Median $38.90 Typical High $56.23 | Professional | None (both parts) | $29.51 | $38.90 | $56.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $13.80 Typical High $20.42 | Professional | 26 · Professional part | $10.23 | $13.80 | $20.42 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $25.12 Typical High $36.31 | Professional | TC · Technical part | $19.95 | $25.12 | $36.31 |
Univera Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $114.82 | Facility | None | $15.14 | $15.14 | $114.82 |
Univera Setting Facility Modifier TC · Technical part Typical Low $9.12 Median $9.12 Typical High $61.66 | Facility | TC · Technical part | $9.12 | $9.12 | $61.66 |
Univera Setting Professional Modifier None (both parts) Typical Low $30.20 Median $34.67 Typical High $48.98 | Professional | None (both parts) | $30.20 | $34.67 | $48.98 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $12.88 Typical High $17.78 | Professional | 26 · Professional part | $10.72 | $12.88 | $17.78 |
Univera Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $23.44 Typical High $30.90 | Professional | TC · Technical part | $19.05 | $23.44 | $30.90 |
3 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 $17.38 Median $17.38 Typical High $19.95 | Professional | 52 · Reduced service | $17.38 | $17.38 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $6.92 Typical High $7.94 | Professional | 53 · Discontinued | $6.92 | $6.92 | $7.94 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $25.70 Typical High $33.88 | Professional | 53 · Discontinued | $19.50 | $25.70 | $33.88 |
Where New York sits
The same service costs 2.7 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· 43rd of 51
$38.02
MN $83.18UT $30.90
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.