How much rates vary
Facilitymedian $89 · 10th to 90th $71 to $339Professionalmedian $166 · 10th to 90th $135 to $245
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 $151.36 Median $194.98 Typical High $371.54 | Facility | None | $151.36 | $194.98 | $371.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $194.98 | Professional | None (both parts) | $151.36 | $151.36 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $95.50 | Professional | 26 · Professional part | $70.79 | $70.79 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $79.43 Typical High $97.72 | Professional | TC · Technical part | $72.44 | $79.43 | $97.72 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $147.91 | $147.91 | $147.91 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $144.54 Median $169.82 Typical High $194.98 | Professional | None (both parts) | $144.54 | $169.82 | $194.98 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $79.43 Typical High $95.50 | Professional | 26 · Professional part | $67.61 | $79.43 | $95.50 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $89.13 Typical High $102.33 | Professional | TC · Technical part | $75.86 | $89.13 | $102.33 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $114.82 Median $128.82 Typical High $245.47 | Professional | None (both parts) | $114.82 | $128.82 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $251.19 Typical High $562.34 | Facility | None | $100.00 | $251.19 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $134.90 Typical High $501.19 | Professional | None (both parts) | $125.89 | $134.90 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $63.10 Typical High $229.09 | Professional | 26 · Professional part | $58.88 | $63.10 | $229.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $69.18 Typical High $213.80 | Professional | TC · Technical part | $66.07 | $69.18 | $213.80 |
Emblem Health Setting Facility Modifier None Typical Low $81.28 Median $100.00 Typical High $323.59 | Facility | None | $81.28 | $100.00 | $323.59 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $147.91 Median $190.55 Typical High $295.12 | Professional | None (both parts) | $147.91 | $190.55 | $295.12 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $95.50 Typical High $147.91 | Professional | 26 · Professional part | $63.10 | $95.50 | $147.91 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $100.00 Typical High $144.54 | Professional | TC · Technical part | $97.72 | $100.00 | $144.54 |
Excellus BCBS Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | TC · Technical part | $42.66 | $42.66 | $42.66 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $123.03 Median $134.90 Typical High $165.96 | Professional | None (both parts) | $123.03 | $134.90 | $165.96 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $69.18 Typical High $87.10 | Professional | 26 · Professional part | $64.57 | $69.18 | $87.10 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $70.79 Typical High $79.43 | Professional | TC · Technical part | $58.88 | $70.79 | $79.43 |
Fidelis Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 26 · Professional part | $100.00 | $100.00 | $100.00 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $190.55 | Professional | None (both parts) | $93.33 | $93.33 | $190.55 |
MVP Health Care Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $323.59 | Professional | None (both parts) | $190.55 | $190.55 | $323.59 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $107.15 Typical High $213.80 | Professional | 26 · Professional part | $85.11 | $107.15 | $213.80 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $114.82 Typical High $208.93 | Professional | TC · Technical part | $89.13 | $114.82 | $208.93 |
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 $125.89 Median $173.78 Typical High $467.74 | Professional | None (both parts) | $125.89 | $173.78 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $81.28 Typical High $218.78 | Professional | 26 · Professional part | $64.57 | $81.28 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $91.20 Typical High $245.47 | Professional | TC · Technical part | $66.07 | $91.20 | $245.47 |
Univera Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $371.54 | Facility | None | $70.79 | $70.79 | $371.54 |
Univera Setting Facility Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $107.15 | Facility | TC · Technical part | $42.66 | $42.66 | $107.15 |
Univera Setting Professional Modifier None (both parts) Typical Low $123.03 Median $134.90 Typical High $165.96 | Professional | None (both parts) | $123.03 | $134.90 | $165.96 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $69.18 Typical High $87.10 | Professional | 26 · Professional part | $63.10 | $69.18 | $87.10 |
Univera Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $70.79 Typical High $85.11 | Professional | TC · Technical part | $58.88 | $70.79 | $85.11 |
4 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 $75.86 Median $75.86 Typical High $89.13 | Professional | 52 · Reduced service | $75.86 | $75.86 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $35.48 | Professional | 53 · Discontinued | $30.20 | $30.20 | $35.48 |
Highmark BCBS Setting Facility Modifier 59 · Distinct service Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | 59 · Distinct service | $467.74 | $467.74 | $467.74 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $112.20 Typical High $208.93 | Professional | 53 · Discontinued | $87.10 | $112.20 | $208.93 |
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· 32nd of 51
$166
AK $398TX $102
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.