How much rates vary
Facilitymedian $22 · 10th to 90th $15 to $214Professionalmedian $68 · 10th to 90th $54 to $126
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 $75.86 Median $93.33 Typical High $208.93 | Facility | None | $75.86 | $93.33 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $104.71 | Professional | None (both parts) | $75.86 | $75.86 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $52.48 | Professional | 26 · Professional part | $38.90 | $38.90 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $52.48 | Professional | TC · Technical part | $36.31 | $36.31 | $52.48 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $74.13 Median $87.10 Typical High $95.50 | Professional | None (both parts) | $74.13 | $87.10 | $95.50 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $53.70 Median $63.10 Typical High $104.71 | Professional | None (both parts) | $53.70 | $63.10 | $104.71 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $34.67 Typical High $52.48 | Professional | 26 · Professional part | $29.51 | $34.67 | $52.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $28.84 Typical High $52.48 | Professional | TC · Technical part | $24.55 | $28.84 | $52.48 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $61.66 Median $64.57 Typical High $125.89 | Professional | None (both parts) | $61.66 | $64.57 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $100.00 Typical High $234.42 | Facility | None | $75.86 | $100.00 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $70.79 Typical High $245.47 | Professional | None (both parts) | $67.61 | $70.79 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $34.67 Typical High $125.89 | Professional | 26 · Professional part | $32.36 | $34.67 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $36.31 Typical High $123.03 | Professional | TC · Technical part | $35.48 | $36.31 | $123.03 |
Emblem Health Setting Facility Modifier None Typical Low $21.88 Median $52.48 Typical High $181.97 | Facility | None | $21.88 | $52.48 | $181.97 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $79.43 Median $107.15 Typical High $165.96 | Professional | None (both parts) | $79.43 | $107.15 | $165.96 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $51.29 Typical High $81.28 | Professional | 26 · Professional part | $33.88 | $51.29 | $81.28 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $57.54 Typical High $83.18 | Professional | TC · Technical part | $54.95 | $57.54 | $83.18 |
Excellus BCBS Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $9.12 Median $9.12 Typical High $9.12 | Facility | TC · Technical part | $9.12 | $9.12 | $9.12 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $69.18 Median $75.86 Typical High $93.33 | Professional | None (both parts) | $69.18 | $75.86 | $93.33 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.90 Typical High $47.86 | Professional | 26 · Professional part | $35.48 | $38.90 | $47.86 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $37.15 Typical High $45.71 | Professional | TC · Technical part | $33.88 | $37.15 | $45.71 |
MVP Health Care Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $53.70 Median $53.70 Typical High $177.83 | Professional | None (both parts) | $53.70 | $53.70 | $177.83 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $58.88 Typical High $117.49 | Professional | 26 · Professional part | $46.77 | $58.88 | $117.49 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $53.70 Typical High $114.82 | Professional | TC · Technical part | $39.81 | $53.70 | $114.82 |
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 $66.07 Median $87.10 Typical High $218.78 | Professional | None (both parts) | $66.07 | $87.10 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $44.67 Typical High $117.49 | Professional | 26 · Professional part | $34.67 | $44.67 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $41.69 Typical High $114.82 | Professional | TC · Technical part | $33.11 | $41.69 | $114.82 |
Univera Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $194.98 | Facility | None | $15.14 | $15.14 | $194.98 |
Univera Setting Facility Modifier TC · Technical part Typical Low $9.12 Median $9.12 Typical High $64.57 | Facility | TC · Technical part | $9.12 | $9.12 | $64.57 |
Univera Setting Professional Modifier None (both parts) Typical Low $69.18 Median $75.86 Typical High $93.33 | Professional | None (both parts) | $69.18 | $75.86 | $93.33 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $38.02 Typical High $47.86 | Professional | 26 · Professional part | $33.88 | $38.02 | $47.86 |
Univera Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $37.15 Typical High $45.71 | Professional | TC · Technical part | $33.88 | $37.15 | $45.71 |
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 $38.02 Median $38.02 Typical High $47.86 | Professional | 52 · Reduced service | $38.02 | $38.02 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $19.05 | Professional | 53 · Discontinued | $15.14 | $15.14 | $19.05 |
Fidelis Setting Professional Modifier 59 · Distinct service Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 59 · Distinct service | $83.18 | $83.18 | $83.18 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $56.23 Typical High $114.82 | Professional | 53 · Discontinued | $43.65 | $56.23 | $114.82 |
Where New York sits
The same service costs 3.2 times more in Alaska than in Alabama. 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· 50th of 51
$67.61
AK $219AL $67.61
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.