How much rates vary
Facilitymedian $43 · 10th to 90th $8 to $148Professionalmedian $50 · 10th to 90th $41 to $66
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 $44.67 Median $50.12 Typical High $112.20 | Facility | None | $44.67 | $50.12 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $66.07 | Professional | None (both parts) | $44.67 | $44.67 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $3.47 Median $3.47 Typical High $4.57 | Professional | 26 · Professional part | $3.47 | $3.47 | $4.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $41.69 Typical High $61.66 | Professional | TC · Technical part | $40.74 | $41.69 | $61.66 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $43.65 Median $51.29 Typical High $56.23 | Professional | None (both parts) | $43.65 | $51.29 | $56.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $3.02 Median $3.55 Typical High $4.37 | Professional | 26 · Professional part | $3.02 | $3.55 | $4.37 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $47.86 Typical High $52.48 | Professional | TC · Technical part | $39.81 | $47.86 | $52.48 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $5.37 Median $56.23 Typical High $61.66 | Professional | None (both parts) | $5.37 | $56.23 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $50.12 Typical High $316.23 | Facility | None | $33.11 | $50.12 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $54.95 Typical High $100.00 | Professional | None (both parts) | $53.70 | $54.95 | $100.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $4.47 Median $4.57 Typical High $7.41 | Professional | 26 · Professional part | $4.47 | $4.57 | $7.41 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $50.12 Typical High $91.20 | Professional | TC · Technical part | $48.98 | $50.12 | $91.20 |
Emblem Health Setting Facility Modifier None Typical Low $42.66 Median $60.26 Typical High $194.98 | Facility | None | $42.66 | $60.26 | $194.98 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $50.12 Median $63.10 Typical High $104.71 | Professional | None (both parts) | $50.12 | $63.10 | $104.71 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $2.95 Median $4.37 Typical High $7.41 | Professional | 26 · Professional part | $2.95 | $4.37 | $7.41 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $100.00 | Professional | TC · Technical part | $58.88 | $58.88 | $100.00 |
Excellus BCBS Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Facility | None | $7.59 | $7.59 | $7.59 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $4.57 Median $4.57 Typical High $4.57 | Facility | TC · Technical part | $4.57 | $4.57 | $4.57 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $39.81 Median $50.12 Typical High $52.48 | Professional | None (both parts) | $39.81 | $50.12 | $52.48 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $2.95 Median $3.31 Typical High $4.07 | Professional | 26 · Professional part | $2.95 | $3.31 | $4.07 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $46.77 Typical High $48.98 | Professional | TC · Technical part | $36.31 | $46.77 | $48.98 |
MVP Health Care Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $32.36 Median $32.36 Typical High $69.18 | Professional | None (both parts) | $32.36 | $32.36 | $69.18 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $3.89 Median $5.13 Typical High $6.31 | Professional | 26 · Professional part | $3.89 | $5.13 | $6.31 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $61.66 Typical High $77.62 | Professional | TC · Technical part | $46.77 | $61.66 | $77.62 |
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 $39.81 Median $51.29 Typical High $81.28 | Professional | None (both parts) | $39.81 | $51.29 | $81.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $2.69 Median $3.98 Typical High $5.62 | Professional | 26 · Professional part | $2.69 | $3.98 | $5.62 |
United Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $47.86 Typical High $74.13 | Professional | TC · Technical part | $36.31 | $47.86 | $74.13 |
Univera Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $131.83 | Facility | None | $7.59 | $7.59 | $131.83 |
Univera Setting Facility Modifier TC · Technical part Typical Low $4.57 Median $4.57 Typical High $109.65 | Facility | TC · Technical part | $4.57 | $4.57 | $109.65 |
Univera Setting Professional Modifier None (both parts) Typical Low $39.81 Median $50.12 Typical High $52.48 | Professional | None (both parts) | $39.81 | $50.12 | $52.48 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $2.95 Median $3.31 Typical High $4.07 | Professional | 26 · Professional part | $2.95 | $3.31 | $4.07 |
Univera Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $46.77 Typical High $48.98 | Professional | TC · Technical part | $36.31 | $46.77 | $48.98 |
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 $22.39 Median $22.39 Typical High $25.12 | Professional | 52 · Reduced service | $22.39 | $22.39 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $8.91 Typical High $10.00 | Professional | 53 · Discontinued | $8.91 | $8.91 | $10.00 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $33.11 Typical High $44.67 | Professional | 53 · Discontinued | $25.12 | $33.11 | $44.67 |
Where New York sits
The same service costs 3.3 times more in North Dakota 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· 39th of 51
$50.12
ND $102UT $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.