How much rates vary
Facilitymedian $81 · 10th to 90th $45 to $427Professionalmedian $126 · 10th to 90th $102 to $219
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 $125.89 Median $147.91 Typical High $316.23 | Facility | None | $125.89 | $147.91 | $316.23 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $69.18 Median $83.18 Typical High $186.21 | Facility | 26 · Professional part | $69.18 | $83.18 | $186.21 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $57.54 Median $61.66 Typical High $131.83 | Facility | TC · Technical part | $57.54 | $61.66 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $239.88 | Professional | None (both parts) | $125.89 | $125.89 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $128.82 | Professional | 26 · Professional part | $69.18 | $69.18 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $102.33 | Professional | TC · Technical part | $57.54 | $57.54 | $102.33 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $138.04 Median $141.25 Typical High $158.49 | Professional | None (both parts) | $138.04 | $141.25 | $158.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $102.33 Median $120.23 Typical High $169.82 | Professional | None (both parts) | $102.33 | $120.23 | $169.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $67.61 Typical High $91.20 | Professional | 26 · Professional part | $56.23 | $67.61 | $91.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $53.70 Typical High $75.86 | Professional | TC · Technical part | $45.71 | $53.70 | $75.86 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $89.13 Median $112.20 Typical High $204.17 | Professional | None (both parts) | $89.13 | $112.20 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $380.19 Typical High $426.58 | Facility | None | $229.09 | $380.19 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $123.03 Typical High $426.58 | Professional | None (both parts) | $104.71 | $123.03 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $63.10 Typical High $223.87 | Professional | 26 · Professional part | $57.54 | $63.10 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $53.70 Typical High $177.83 | Professional | TC · Technical part | $45.71 | $53.70 | $177.83 |
Emblem Health Setting Facility Modifier None Typical Low $32.36 Median $70.79 Typical High $245.47 | Facility | None | $32.36 | $70.79 | $245.47 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $169.82 Typical High $257.04 | Professional | None (both parts) | $123.03 | $169.82 | $257.04 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $93.33 Typical High $147.91 | Professional | 26 · Professional part | $61.66 | $93.33 | $147.91 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $77.62 Typical High $112.20 | Professional | TC · Technical part | $74.13 | $77.62 | $112.20 |
Excellus BCBS Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $26.92 Median $26.92 Typical High $26.92 | Facility | TC · Technical part | $26.92 | $26.92 | $26.92 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $107.15 Median $117.49 Typical High $141.25 | Professional | None (both parts) | $107.15 | $117.49 | $141.25 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $67.61 Typical High $85.11 | Professional | 26 · Professional part | $63.10 | $67.61 | $85.11 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $50.12 Typical High $58.88 | Professional | TC · Technical part | $43.65 | $50.12 | $58.88 |
Highmark BCBS Setting Facility Modifier None Typical Low $194.98 Median $426.58 Typical High $1,949.84 | Facility | None | $194.98 | $426.58 | $1,949.84 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $123.03 Median $162.18 Typical High $323.59 | Professional | None (both parts) | $123.03 | $162.18 | $323.59 |
MVP Health Care Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $338.84 | Professional | None (both parts) | $141.25 | $141.25 | $338.84 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $104.71 Typical High $208.93 | Professional | 26 · Professional part | $83.18 | $104.71 | $208.93 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $85.11 Typical High $147.91 | Professional | TC · Technical part | $64.57 | $85.11 | $147.91 |
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 $114.82 Median $147.91 Typical High $371.54 | Professional | None (both parts) | $114.82 | $147.91 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $81.28 Typical High $213.80 | Professional | 26 · Professional part | $63.10 | $81.28 | $213.80 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $66.07 Typical High $169.82 | Professional | TC · Technical part | $51.29 | $66.07 | $169.82 |
Univera Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $239.88 | Facility | None | $44.67 | $44.67 | $239.88 |
Univera Setting Facility Modifier TC · Technical part Typical Low $26.92 Median $26.92 Typical High $104.71 | Facility | TC · Technical part | $26.92 | $26.92 | $104.71 |
Univera Setting Professional Modifier None (both parts) Typical Low $107.15 Median $117.49 Typical High $141.25 | Professional | None (both parts) | $107.15 | $117.49 | $141.25 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $67.61 Typical High $85.11 | Professional | 26 · Professional part | $61.66 | $67.61 | $85.11 |
Univera Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $50.12 Typical High $61.66 | Professional | TC · Technical part | $43.65 | $50.12 | $61.66 |
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 $63.10 Median $63.10 Typical High $77.62 | Professional | 52 · Reduced service | $63.10 | $63.10 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $30.90 | Professional | 53 · Discontinued | $25.12 | $25.12 | $30.90 |
Where New York sits
The same service costs 4.0 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· 47th of 51
$126
AK $339TX $85.11
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.