How much rates vary
Facilitymedian $59 · 10th to 90th $35 to $295Professionalmedian $115 · 10th to 90th $93 to $174
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 $107.15 Median $128.82 Typical High $257.04 | Facility | None | $107.15 | $128.82 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $141.25 | Professional | None (both parts) | $107.15 | $107.15 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $60.26 | Professional | 26 · Professional part | $44.67 | $44.67 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $63.10 Typical High $74.13 | Professional | TC · Technical part | $58.88 | $63.10 | $74.13 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $109.65 | $109.65 | $109.65 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $100.00 Median $117.49 Typical High $141.25 | Professional | None (both parts) | $100.00 | $117.49 | $141.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $48.98 Typical High $60.26 | Professional | 26 · Professional part | $41.69 | $48.98 | $60.26 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $67.61 Typical High $77.62 | Professional | TC · Technical part | $57.54 | $67.61 | $77.62 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $72.44 Median $95.50 Typical High $169.82 | Professional | None (both parts) | $72.44 | $95.50 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $100.00 Typical High $436.52 | Facility | None | $75.86 | $100.00 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $95.50 Typical High $331.13 | Professional | None (both parts) | $87.10 | $95.50 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $39.81 Typical High $144.54 | Professional | 26 · Professional part | $36.31 | $39.81 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $56.23 Typical High $169.82 | Professional | TC · Technical part | $50.12 | $56.23 | $169.82 |
Emblem Health Setting Facility Modifier None Typical Low $52.48 Median $83.18 Typical High $269.15 | Facility | None | $52.48 | $83.18 | $269.15 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $102.33 Median $141.25 Typical High $218.78 | Professional | None (both parts) | $102.33 | $141.25 | $218.78 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $60.26 Typical High $95.50 | Professional | 26 · Professional part | $38.90 | $60.26 | $95.50 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $85.11 Typical High $123.03 | Professional | TC · Technical part | $81.28 | $85.11 | $123.03 |
Excellus BCBS Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | TC · Technical part | $21.38 | $21.38 | $21.38 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $89.13 Median $97.72 Typical High $117.49 | Professional | None (both parts) | $89.13 | $97.72 | $117.49 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $44.67 Typical High $53.70 | Professional | 26 · Professional part | $40.74 | $44.67 | $53.70 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $54.95 Typical High $64.57 | Professional | TC · Technical part | $47.86 | $54.95 | $64.57 |
Highmark BCBS Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
MVP Health Care Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $229.09 | Professional | None (both parts) | $109.65 | $109.65 | $229.09 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $67.61 Typical High $131.83 | Professional | 26 · Professional part | $53.70 | $67.61 | $131.83 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $89.13 Typical High $162.18 | Professional | TC · Technical part | $67.61 | $89.13 | $162.18 |
United Setting Facility Modifier None Typical Low $269.15 Median $309.03 Typical High $380.19 | Facility | None | $269.15 | $309.03 | $380.19 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $120.23 Typical High $323.59 | Professional | None (both parts) | $91.20 | $120.23 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $51.29 Typical High $141.25 | Professional | 26 · Professional part | $40.74 | $51.29 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $69.18 Typical High $190.55 | Professional | TC · Technical part | $52.48 | $69.18 | $190.55 |
Univera Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $281.84 | Facility | None | $35.48 | $35.48 | $281.84 |
Univera Setting Facility Modifier TC · Technical part Typical Low $21.38 Median $21.38 Typical High $120.23 | Facility | TC · Technical part | $21.38 | $21.38 | $120.23 |
Univera Setting Professional Modifier None (both parts) Typical Low $89.13 Median $97.72 Typical High $117.49 | Professional | None (both parts) | $89.13 | $97.72 | $117.49 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $42.66 Typical High $53.70 | Professional | 26 · Professional part | $38.90 | $42.66 | $53.70 |
Univera Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $54.95 Typical High $64.57 | Professional | TC · Technical part | $47.86 | $54.95 | $64.57 |
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 $53.70 Median $53.70 Typical High $61.66 | Professional | 52 · Reduced service | $53.70 | $53.70 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $25.12 | Professional | 53 · Discontinued | $21.38 | $21.38 | $25.12 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $77.62 Typical High $147.91 | Professional | 53 · Discontinued | $60.26 | $77.62 | $147.91 |
Where New York sits
The same service costs 3.9 times more in Alaska than in Texas. 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· 34th of 51
$115
AK $282TX $72.44
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.