How much rates vary
Facilitymedian $56 · 10th to 90th $37 to $437Professionalmedian $105 · 10th to 90th $85 to $182
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 $104.71 Median $134.90 Typical High $588.84 | Facility | None | $104.71 | $134.90 | $588.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $199.53 | Professional | None (both parts) | $104.71 | $104.71 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $109.65 | Professional | 26 · Professional part | $57.54 | $57.54 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $85.11 | Professional | TC · Technical part | $46.77 | $46.77 | $85.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $85.11 Median $100.00 Typical High $141.25 | Professional | None (both parts) | $85.11 | $100.00 | $141.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $54.95 Typical High $75.86 | Professional | 26 · Professional part | $46.77 | $54.95 | $75.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $44.67 Typical High $63.10 | Professional | TC · Technical part | $38.02 | $44.67 | $63.10 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $74.13 Median $95.50 Typical High $169.82 | Professional | None (both parts) | $74.13 | $95.50 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $323.59 Typical High $426.58 | Facility | None | $190.55 | $323.59 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $102.33 Typical High $354.81 | Professional | None (both parts) | $87.10 | $102.33 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $52.48 Typical High $186.21 | Professional | 26 · Professional part | $47.86 | $52.48 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $45.71 Typical High $147.91 | Professional | TC · Technical part | $38.02 | $45.71 | $147.91 |
Emblem Health Setting Facility Modifier None Typical Low $26.92 Median $61.66 Typical High $204.17 | Facility | None | $26.92 | $61.66 | $204.17 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $102.33 Median $141.25 Typical High $213.80 | Professional | None (both parts) | $102.33 | $141.25 | $213.80 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $79.43 Typical High $123.03 | Professional | 26 · Professional part | $51.29 | $79.43 | $123.03 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $64.57 Typical High $91.20 | Professional | TC · Technical part | $61.66 | $64.57 | $91.20 |
Excellus BCBS Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | TC · Technical part | $22.39 | $22.39 | $22.39 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $89.13 Median $100.00 Typical High $117.49 | Professional | None (both parts) | $89.13 | $100.00 | $117.49 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $57.54 Typical High $70.79 | Professional | 26 · Professional part | $52.48 | $57.54 | $70.79 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $40.74 Typical High $48.98 | Professional | TC · Technical part | $36.31 | $40.74 | $48.98 |
Highmark BCBS Setting Facility Modifier None Typical Low $331.13 Median $1,000.00 Typical High $1,621.81 | Facility | None | $331.13 | $1,000.00 | $1,621.81 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $275.42 | Professional | None (both parts) | $134.90 | $134.90 | $275.42 |
MVP Health Care Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $281.84 | Professional | None (both parts) | $117.49 | $117.49 | $281.84 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $87.10 Typical High $173.78 | Professional | 26 · Professional part | $69.18 | $87.10 | $173.78 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $70.79 Typical High $123.03 | Professional | TC · Technical part | $53.70 | $70.79 | $123.03 |
United Setting Facility Modifier None Typical Low $436.52 Median $501.19 Typical High $616.60 | Facility | None | $436.52 | $501.19 | $616.60 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $123.03 Typical High $309.03 | Professional | None (both parts) | $95.50 | $123.03 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $67.61 Typical High $177.83 | Professional | 26 · Professional part | $52.48 | $67.61 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $54.95 Typical High $141.25 | Professional | TC · Technical part | $42.66 | $54.95 | $141.25 |
Univera Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $204.17 | Facility | None | $37.15 | $37.15 | $204.17 |
Univera Setting Facility Modifier TC · Technical part Typical Low $22.39 Median $22.39 Typical High $87.10 | Facility | TC · Technical part | $22.39 | $22.39 | $87.10 |
Univera Setting Professional Modifier None (both parts) Typical Low $89.13 Median $102.33 Typical High $117.49 | Professional | None (both parts) | $89.13 | $102.33 | $117.49 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $57.54 Typical High $70.79 | Professional | 26 · Professional part | $51.29 | $57.54 | $70.79 |
Univera Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $44.67 Typical High $51.29 | Professional | TC · Technical part | $36.31 | $44.67 | $51.29 |
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 $51.29 Median $51.29 Typical High $64.57 | Professional | 52 · Reduced service | $51.29 | $51.29 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $26.30 | Professional | 53 · Discontinued | $20.89 | $20.89 | $26.30 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 59 · Distinct service | $107.15 | $107.15 | $107.15 |
Where New York sits
The same service costs 3.8 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· 45th of 51
$105
AK $275UT $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.