How much rates vary
Facilitymedian $23 · 10th to 90th $15 to $316Professionalmedian $105 · 10th to 90th $83 to $200
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 $131.83 Median $144.54 Typical High $288.40 | Facility | None | $131.83 | $144.54 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $144.54 Typical High $173.78 | Professional | None (both parts) | $131.83 | $144.54 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $52.48 | Professional | 26 · Professional part | $39.81 | $39.81 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $104.71 Typical High $114.82 | Professional | TC · Technical part | $85.11 | $104.71 | $114.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $104.71 Median $117.49 Typical High $128.82 | Professional | None (both parts) | $104.71 | $117.49 | $128.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $83.18 Median $97.72 Typical High $158.49 | Professional | None (both parts) | $83.18 | $97.72 | $158.49 |
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 $53.70 Median $63.10 Typical High $102.33 | Professional | TC · Technical part | $53.70 | $63.10 | $102.33 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $64.57 Median $120.23 Typical High $186.21 | Professional | None (both parts) | $64.57 | $120.23 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $100.00 Typical High $512.86 | Facility | None | $75.86 | $100.00 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $120.23 Typical High $398.11 | Professional | None (both parts) | $95.50 | $120.23 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $34.67 Typical High $128.82 | Professional | 26 · Professional part | $32.36 | $34.67 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $81.28 Typical High $257.04 | Professional | TC · Technical part | $64.57 | $81.28 | $257.04 |
Emblem Health Setting Facility Modifier None Typical Low $21.88 Median $89.13 Typical High $309.03 | Facility | None | $21.88 | $89.13 | $309.03 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $114.82 Median $147.91 Typical High $223.87 | Professional | None (both parts) | $114.82 | $147.91 | $223.87 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $51.29 Typical High $81.28 | Professional | 26 · Professional part | $34.67 | $51.29 | $81.28 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $97.72 Typical High $141.25 | Professional | TC · Technical part | $95.50 | $97.72 | $141.25 |
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 $93.33 Median $104.71 Typical High $125.89 | Professional | None (both parts) | $93.33 | $104.71 | $125.89 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.02 Typical High $47.86 | Professional | 26 · Professional part | $35.48 | $38.02 | $47.86 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $69.18 Typical High $77.62 | Professional | TC · Technical part | $58.88 | $69.18 | $77.62 |
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 $316.23 | Professional | None (both parts) | $53.70 | $53.70 | $316.23 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $60.26 Typical High $117.49 | Professional | 26 · Professional part | $46.77 | $60.26 | $117.49 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $109.65 Typical High $204.17 | Professional | TC · Technical part | $81.28 | $109.65 | $204.17 |
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 $100.00 Median $131.83 Typical High $354.81 | Professional | None (both parts) | $100.00 | $131.83 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $45.71 Typical High $123.03 | Professional | 26 · Professional part | $34.67 | $45.71 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $85.11 Typical High $239.88 | Professional | TC · Technical part | $64.57 | $85.11 | $239.88 |
Univera Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $331.13 | Facility | None | $15.14 | $15.14 | $331.13 |
Univera Setting Facility Modifier TC · Technical part Typical Low $9.12 Median $9.12 Typical High $123.03 | Facility | TC · Technical part | $9.12 | $9.12 | $123.03 |
Univera Setting Professional Modifier None (both parts) Typical Low $93.33 Median $104.71 Typical High $125.89 | Professional | None (both parts) | $93.33 | $104.71 | $125.89 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $38.02 Typical High $47.86 | Professional | 26 · Professional part | $34.67 | $38.02 | $47.86 |
Univera Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $69.18 Typical High $79.43 | Professional | TC · Technical part | $58.88 | $69.18 | $79.43 |
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 $66.07 Median $72.44 Typical High $74.13 | Professional | 52 · Reduced service | $66.07 | $72.44 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $28.84 Typical High $29.51 | Professional | 53 · Discontinued | $26.30 | $28.84 | $29.51 |
Fidelis Setting Professional Modifier 59 · Distinct service Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 59 · Distinct service | $95.50 | $95.50 | $95.50 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $85.11 Typical High $158.49 | Professional | 53 · Discontinued | $64.57 | $85.11 | $158.49 |
Where New York sits
The same service costs 3.2 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· 49th of 51
$105
AK $302TX $93.33
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.