How much rates vary
Facilitymedian $91 · 10th to 90th $30 to $479Professionalmedian $129 · 10th to 90th $102 to $229
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 $134.90 Median $190.55 Typical High $407.38 | Facility | None | $134.90 | $190.55 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $204.17 | Professional | None (both parts) | $138.04 | $138.04 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $33.88 | Professional | 26 · Professional part | $23.99 | $23.99 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $165.96 | Professional | TC · Technical part | $114.82 | $114.82 | $165.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $102.33 Median $120.23 Typical High $190.55 | Professional | None (both parts) | $102.33 | $120.23 | $190.55 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $25.70 Typical High $32.36 | Professional | 26 · Professional part | $21.88 | $25.70 | $32.36 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $95.50 Typical High $158.49 | Professional | TC · Technical part | $81.28 | $95.50 | $158.49 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $40.74 Median $181.97 Typical High $218.78 | Professional | None (both parts) | $40.74 | $181.97 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $323.59 Typical High $645.65 | Facility | None | $229.09 | $323.59 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $151.36 Typical High $436.52 | Professional | None (both parts) | $144.54 | $151.36 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.88 Typical High $77.62 | Professional | 26 · Professional part | $21.38 | $21.88 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $128.82 Typical High $371.54 | Professional | TC · Technical part | $120.23 | $128.82 | $371.54 |
Emblem Health Setting Facility Modifier None Typical Low $91.20 Median $147.91 Typical High $489.78 | Facility | None | $91.20 | $147.91 | $489.78 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $169.82 Median $181.97 Typical High $275.42 | Professional | None (both parts) | $169.82 | $181.97 | $275.42 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $32.36 Typical High $50.12 | Professional | 26 · Professional part | $22.39 | $32.36 | $50.12 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $154.88 Typical High $223.87 | Professional | TC · Technical part | $151.36 | $154.88 | $223.87 |
Excellus BCBS Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | TC · Technical part | $18.20 | $18.20 | $18.20 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $123.03 Median $144.54 Typical High $162.18 | Professional | None (both parts) | $123.03 | $144.54 | $162.18 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $23.99 Typical High $29.51 | Professional | 26 · Professional part | $21.88 | $23.99 | $29.51 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $117.49 Typical High $134.90 | Professional | TC · Technical part | $100.00 | $117.49 | $134.90 |
Highmark BCBS Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 26 · Professional part | $31.62 | $31.62 | $31.62 |
MVP Health Care Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $338.84 | Professional | None (both parts) | $109.65 | $109.65 | $338.84 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $36.31 Typical High $72.44 | Professional | 26 · Professional part | $28.84 | $36.31 | $72.44 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $147.91 Typical High $389.05 | Professional | TC · Technical part | $109.65 | $147.91 | $389.05 |
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 $109.65 Median $144.54 Typical High $389.05 | Professional | None (both parts) | $109.65 | $144.54 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $28.18 Typical High $75.86 | Professional | 26 · Professional part | $21.88 | $28.18 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $114.82 Typical High $316.23 | Professional | TC · Technical part | $91.20 | $114.82 | $316.23 |
Univera Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $275.42 | Facility | None | $30.20 | $30.20 | $275.42 |
Univera Setting Facility Modifier TC · Technical part Typical Low $18.20 Median $18.20 Typical High $177.83 | Facility | TC · Technical part | $18.20 | $18.20 | $177.83 |
Univera Setting Professional Modifier None (both parts) Typical Low $123.03 Median $144.54 Typical High $169.82 | Professional | None (both parts) | $123.03 | $144.54 | $169.82 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $23.44 Typical High $29.51 | Professional | 26 · Professional part | $21.88 | $23.44 | $29.51 |
Univera Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $117.49 Typical High $144.54 | Professional | TC · Technical part | $100.00 | $117.49 | $144.54 |
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 $69.18 Median $69.18 Typical High $97.72 | Professional | 52 · Reduced service | $69.18 | $69.18 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $38.90 | Professional | 53 · Discontinued | $27.54 | $27.54 | $38.90 |
Fidelis Setting Professional Modifier 59 · Distinct service Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 59 · Distinct service | $177.83 | $177.83 | $177.83 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $93.33 Typical High $229.09 | Professional | 53 · Discontinued | $69.18 | $93.33 | $229.09 |
Where New York sits
The same service costs 2.9 times more in Alaska than in New Mexico. 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· 48th of 51
$129
AK $347NM $120
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.