How much rates vary
Facilitymedian $110 · 10th to 90th $4 to $316Professionalmedian $66 · 10th to 90th $52 to $102
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 $57.54 Median $66.07 Typical High $186.21 | Facility | None | $57.54 | $66.07 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $66.07 | Professional | None (both parts) | $60.26 | $60.26 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.38 Typical High $19.95 | Professional | 26 · Professional part | $17.38 | $17.38 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $43.65 Typical High $47.86 | Professional | TC · Technical part | $43.65 | $43.65 | $47.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $54.95 Median $66.07 Typical High $75.86 | Professional | None (both parts) | $54.95 | $66.07 | $75.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $18.20 Typical High $20.42 | Professional | 26 · Professional part | $15.49 | $18.20 | $20.42 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $46.77 Typical High $56.23 | Professional | TC · Technical part | $39.81 | $46.77 | $56.23 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $25.70 Median $60.26 Typical High $85.11 | Professional | None (both parts) | $25.70 | $60.26 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $177.83 Typical High $316.23 | Facility | None | $74.13 | $177.83 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $147.91 | Professional | None (both parts) | $75.86 | $75.86 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $19.95 Typical High $34.67 | Professional | 26 · Professional part | $19.50 | $19.95 | $34.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $112.20 | Professional | TC · Technical part | $57.54 | $57.54 | $112.20 |
Emblem Health Setting Facility Modifier None Typical Low $3.98 Median $100.00 Typical High $363.08 | Facility | None | $3.98 | $100.00 | $363.08 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $234.42 | Professional | None (both parts) | $134.90 | $134.90 | $234.42 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $44.67 | Professional | 26 · Professional part | $26.92 | $26.92 | $44.67 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $186.21 | Professional | TC · Technical part | $109.65 | $109.65 | $186.21 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $72.44 Median $91.20 Typical High $114.82 | Professional | None (both parts) | $72.44 | $91.20 | $114.82 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $19.50 Typical High $26.30 | Professional | 26 · Professional part | $16.60 | $19.50 | $26.30 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $72.44 Typical High $87.10 | Professional | TC · Technical part | $56.23 | $72.44 | $87.10 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $46.77 Median $46.77 Typical High $91.20 | Professional | None (both parts) | $46.77 | $46.77 | $91.20 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $25.12 Typical High $30.90 | Professional | 26 · Professional part | $19.50 | $25.12 | $30.90 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $63.10 Typical High $91.20 | Professional | TC · Technical part | $46.77 | $63.10 | $91.20 |
United Setting Facility Modifier None Typical Low $257.04 Median $302.00 Typical High $371.54 | Facility | None | $257.04 | $302.00 | $371.54 |
United Setting Professional Modifier None (both parts) Typical Low $57.54 Median $72.44 Typical High $114.82 | Professional | None (both parts) | $57.54 | $72.44 | $114.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $18.62 Typical High $27.54 | Professional | 26 · Professional part | $15.49 | $18.62 | $27.54 |
United Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $52.48 Typical High $89.13 | Professional | TC · Technical part | $41.69 | $52.48 | $89.13 |
Univera Setting Facility Modifier None Typical Low $91.20 Median $93.33 Typical High $269.15 | Facility | None | $91.20 | $93.33 | $269.15 |
Univera Setting Professional Modifier None (both parts) Typical Low $58.88 Median $91.20 Typical High $107.15 | Professional | None (both parts) | $58.88 | $91.20 | $107.15 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $19.50 Typical High $25.12 | Professional | 26 · Professional part | $13.49 | $19.50 | $25.12 |
Univera Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $72.44 Typical High $87.10 | Professional | TC · Technical part | $44.67 | $72.44 | $87.10 |
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 $30.20 Median $30.20 Typical High $33.11 | Professional | 52 · Reduced service | $30.20 | $30.20 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $13.18 | Professional | 53 · Discontinued | $12.02 | $12.02 | $13.18 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $43.65 Typical High $66.07 | Professional | 53 · Discontinued | $33.11 | $43.65 | $66.07 |
Where New York sits
The same service costs 3.5 times more in North Dakota than in Kentucky. 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· 44th of 51
$66.07
ND $186KY $53.70
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.