How much rates vary
Facilitymedian $51 · 10th to 90th $5 to $129Professionalmedian $68 · 10th to 90th $55 to $91
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 $67.61 Median $81.28 Typical High $151.36 | Facility | None | $67.61 | $81.28 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $81.28 | Professional | None (both parts) | $67.61 | $67.61 | $81.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $25.12 | Professional | 26 · Professional part | $20.42 | $20.42 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $53.70 | Professional | TC · Technical part | $46.77 | $46.77 | $53.70 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $57.54 Median $69.18 Typical High $77.62 | Professional | None (both parts) | $57.54 | $69.18 | $77.62 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $20.89 Typical High $23.99 | Professional | 26 · Professional part | $17.38 | $20.89 | $23.99 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $47.86 Typical High $53.70 | Professional | TC · Technical part | $40.74 | $47.86 | $53.70 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $33.11 Median $69.18 Typical High $102.33 | Professional | None (both parts) | $33.11 | $69.18 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $144.54 | Professional | None (both parts) | $81.28 | $81.28 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $43.65 | Professional | 26 · Professional part | $24.55 | $24.55 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $100.00 | Professional | TC · Technical part | $57.54 | $57.54 | $100.00 |
Emblem Health Setting Facility Modifier None Typical Low $48.98 Median $60.26 Typical High $181.97 | Facility | None | $48.98 | $60.26 | $181.97 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $61.66 Median $79.43 Typical High $131.83 | Professional | None (both parts) | $61.66 | $79.43 | $131.83 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $40.74 | Professional | 26 · Professional part | $25.12 | $25.12 | $40.74 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $93.33 | Professional | TC · Technical part | $54.95 | $54.95 | $93.33 |
Excellus BCBS Setting Facility Modifier None Typical Low $5.37 Median $5.37 Typical High $5.37 | Facility | None | $5.37 | $5.37 | $5.37 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $3.16 Median $3.16 Typical High $3.16 | Facility | TC · Technical part | $3.16 | $3.16 | $3.16 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $53.70 Median $63.10 Typical High $81.28 | Professional | None (both parts) | $53.70 | $63.10 | $81.28 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $20.89 Typical High $32.36 | Professional | 26 · Professional part | $17.78 | $20.89 | $32.36 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $42.66 Typical High $54.95 | Professional | TC · Technical part | $21.38 | $42.66 | $54.95 |
MVP Health Care Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Facility | None | $11.48 | $11.48 | $11.48 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $97.72 | Professional | None (both parts) | $66.07 | $66.07 | $97.72 |
United Setting Facility Modifier None Typical Low $117.49 Median $138.04 Typical High $169.82 | Facility | None | $117.49 | $138.04 | $169.82 |
United Setting Professional Modifier None (both parts) Typical Low $50.12 Median $77.62 Typical High $112.20 | Professional | None (both parts) | $50.12 | $77.62 | $112.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $22.39 Typical High $33.11 | Professional | 26 · Professional part | $15.14 | $22.39 | $33.11 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $53.70 Typical High $79.43 | Professional | TC · Technical part | $34.67 | $53.70 | $79.43 |
Univera Setting Facility Modifier None Typical Low $5.37 Median $5.37 Typical High $87.10 | Facility | None | $5.37 | $5.37 | $87.10 |
Univera Setting Facility Modifier TC · Technical part Typical Low $3.16 Median $3.16 Typical High $58.88 | Facility | TC · Technical part | $3.16 | $3.16 | $58.88 |
Univera Setting Professional Modifier None (both parts) Typical Low $53.70 Median $61.66 Typical High $81.28 | Professional | None (both parts) | $53.70 | $61.66 | $81.28 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $20.89 Typical High $32.36 | Professional | 26 · Professional part | $17.78 | $20.89 | $32.36 |
Univera Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $38.90 Typical High $54.95 | Professional | TC · Technical part | $21.38 | $38.90 | $54.95 |
2 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 $33.11 Median $33.11 Typical High $38.90 | Professional | 52 · Reduced service | $33.11 | $33.11 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.49 Typical High $15.49 | Professional | 53 · Discontinued | $13.49 | $13.49 | $15.49 |
Where New York sits
The same service costs 4.9 times more in Nebraska 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
$67.61
NE $155UT $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.