How much rates vary
Facilitymedian $28 · 10th to 90th $13 to $155Professionalmedian $39 · 10th to 90th $32 to $55
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 $35.48 Median $46.77 Typical High $102.33 | Facility | None | $35.48 | $46.77 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $35.48 Typical High $47.86 | Professional | None (both parts) | $35.48 | $35.48 | $47.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $10.72 Typical High $14.45 | Professional | 26 · Professional part | $10.72 | $10.72 | $14.45 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $25.12 Typical High $34.67 | Professional | TC · Technical part | $25.12 | $25.12 | $34.67 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $45.71 Median $45.71 Typical High $46.77 | Professional | None (both parts) | $45.71 | $45.71 | $46.77 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $32.36 Median $38.02 Typical High $46.77 | Professional | None (both parts) | $32.36 | $38.02 | $46.77 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $11.48 Typical High $13.49 | Professional | 26 · Professional part | $9.77 | $11.48 | $13.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $26.30 Typical High $38.02 | Professional | TC · Technical part | $22.39 | $26.30 | $38.02 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $17.78 Median $39.81 Typical High $57.54 | Professional | None (both parts) | $17.78 | $39.81 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $154.88 Typical High $177.83 | Facility | None | $75.86 | $154.88 | $177.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $79.43 | Professional | None (both parts) | $47.86 | $47.86 | $79.43 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $13.80 Typical High $22.91 | Professional | 26 · Professional part | $13.80 | $13.80 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $33.88 Typical High $56.23 | Professional | TC · Technical part | $33.88 | $33.88 | $56.23 |
Emblem Health Setting Facility Modifier None Typical Low $23.99 Median $43.65 Typical High $141.25 | Facility | None | $23.99 | $43.65 | $141.25 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $35.48 Median $57.54 Typical High $95.50 | Professional | None (both parts) | $35.48 | $57.54 | $95.50 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $14.45 Typical High $23.99 | Professional | 26 · Professional part | $9.33 | $14.45 | $23.99 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $74.13 | Professional | TC · Technical part | $42.66 | $42.66 | $74.13 |
Excellus BCBS Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Facility | None | $13.49 | $13.49 | $13.49 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $8.13 Median $8.13 Typical High $8.13 | Facility | TC · Technical part | $8.13 | $8.13 | $8.13 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $30.90 Median $39.81 Typical High $54.95 | Professional | None (both parts) | $30.90 | $39.81 | $54.95 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.96 Typical High $15.14 | Professional | 26 · Professional part | $9.33 | $10.96 | $15.14 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $28.84 Typical High $39.81 | Professional | TC · Technical part | $21.88 | $28.84 | $39.81 |
Highmark BCBS Setting Facility Modifier None Typical Low $79.43 Median $169.82 Typical High $245.47 | Facility | None | $79.43 | $169.82 | $245.47 |
MVP Health Care Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $42.66 Median $42.66 Typical High $56.23 | Professional | None (both parts) | $42.66 | $42.66 | $56.23 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $16.60 Typical High $20.42 | Professional | 26 · Professional part | $12.88 | $16.60 | $20.42 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $37.15 Typical High $50.12 | Professional | TC · Technical part | $27.54 | $37.15 | $50.12 |
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 $33.88 Median $41.69 Typical High $60.26 | Professional | None (both parts) | $33.88 | $41.69 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $12.02 Typical High $17.78 | Professional | 26 · Professional part | $8.91 | $12.02 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $29.51 Typical High $43.65 | Professional | TC · Technical part | $25.12 | $29.51 | $43.65 |
Univera Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $72.44 | Facility | None | $13.49 | $13.49 | $72.44 |
Univera Setting Facility Modifier TC · Technical part Typical Low $8.13 Median $8.13 Typical High $50.12 | Facility | TC · Technical part | $8.13 | $8.13 | $50.12 |
Univera Setting Professional Modifier None (both parts) Typical Low $30.90 Median $39.81 Typical High $54.95 | Professional | None (both parts) | $30.90 | $39.81 | $54.95 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.96 Typical High $15.14 | Professional | 26 · Professional part | $9.33 | $10.96 | $15.14 |
Univera Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $28.84 Typical High $39.81 | Professional | TC · Technical part | $21.88 | $28.84 | $39.81 |
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 $17.78 Median $17.78 Typical High $21.38 | Professional | 52 · Reduced service | $17.78 | $17.78 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.08 Typical High $8.51 | Professional | 53 · Discontinued | $7.08 | $7.08 | $8.51 |
Where New York sits
The same service costs 2.9 times more in Alaska 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· 48th of 51
$38.90
AK $89.13UT $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.