How much rates vary
Facilitymedian $91 · 10th to 90th $56 to $275Professionalmedian $65 · 10th to 90th $54 to $120
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 $67.61 Median $114.82 Typical High $158.49 | Facility | None | $67.61 | $114.82 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $114.82 Typical High $131.83 | Professional | None (both parts) | $67.61 | $114.82 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $15.85 Typical High $21.88 | Professional | 26 · Professional part | $15.85 | $15.85 | $21.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $100.00 Typical High $102.33 | Professional | TC · Technical part | $48.98 | $100.00 | $102.33 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $120.23 | Professional | None (both parts) | $64.57 | $64.57 | $120.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $53.70 Median $63.10 Typical High $89.13 | Professional | None (both parts) | $53.70 | $63.10 | $89.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $17.38 Typical High $21.38 | Professional | 26 · Professional part | $14.79 | $17.38 | $21.38 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $46.77 Typical High $63.10 | Professional | TC · Technical part | $39.81 | $46.77 | $63.10 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $26.30 Median $67.61 Typical High $95.50 | Professional | None (both parts) | $26.30 | $67.61 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $229.09 Typical High $309.03 | Facility | None | $107.15 | $229.09 | $309.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $79.43 Typical High $239.88 | Professional | None (both parts) | $50.12 | $79.43 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.80 Typical High $51.29 | Professional | 26 · Professional part | $13.18 | $13.80 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $56.23 Typical High $199.53 | Professional | TC · Technical part | $37.15 | $56.23 | $199.53 |
Emblem Health Setting Facility Modifier None Typical Low $52.48 Median $61.66 Typical High $199.53 | Facility | None | $52.48 | $61.66 | $199.53 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $81.28 Median $85.11 Typical High $123.03 | Professional | None (both parts) | $81.28 | $85.11 | $123.03 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $21.38 Typical High $33.11 | Professional | 26 · Professional part | $14.13 | $21.38 | $33.11 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $63.10 Typical High $89.13 | Professional | TC · Technical part | $60.26 | $63.10 | $89.13 |
Excellus BCBS Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | TC · Technical part | $54.95 | $54.95 | $54.95 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $52.48 Median $64.57 Typical High $89.13 | Professional | None (both parts) | $52.48 | $64.57 | $89.13 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $15.49 Typical High $19.50 | Professional | 26 · Professional part | $14.45 | $15.49 | $19.50 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $46.77 Typical High $74.13 | Professional | TC · Technical part | $38.02 | $46.77 | $74.13 |
Highmark BCBS Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $512.86 | Facility | None | $165.96 | $165.96 | $512.86 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 26 · Professional part | $21.38 | $21.38 | $21.38 |
MVP Health Care Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $162.18 | Professional | None (both parts) | $66.07 | $66.07 | $162.18 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $23.99 Typical High $47.86 | Professional | 26 · Professional part | $19.05 | $23.99 | $47.86 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $63.10 Typical High $158.49 | Professional | TC · Technical part | $47.86 | $63.10 | $158.49 |
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 $53.70 Median $67.61 Typical High $190.55 | Professional | None (both parts) | $53.70 | $67.61 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $18.20 Typical High $48.98 | Professional | 26 · Professional part | $14.13 | $18.20 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $48.98 Typical High $138.04 | Professional | TC · Technical part | $40.74 | $48.98 | $138.04 |
Univera Setting Facility Modifier None Typical Low $61.66 Median $91.20 Typical High $245.47 | Facility | None | $61.66 | $91.20 | $245.47 |
Univera Setting Facility Modifier TC · Technical part Typical Low $44.67 Median $54.95 Typical High $151.36 | Facility | TC · Technical part | $44.67 | $54.95 | $151.36 |
Univera Setting Professional Modifier None (both parts) Typical Low $52.48 Median $64.57 Typical High $89.13 | Professional | None (both parts) | $52.48 | $64.57 | $89.13 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $15.49 Typical High $19.50 | Professional | 26 · Professional part | $14.13 | $15.49 | $19.50 |
Univera Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $46.77 Typical High $74.13 | Professional | TC · Technical part | $38.02 | $46.77 | $74.13 |
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 $33.88 Median $57.54 Typical High $57.54 | Professional | 52 · Reduced service | $33.88 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $22.91 Typical High $22.91 | Professional | 53 · Discontinued | $13.80 | $22.91 | $22.91 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $43.65 Typical High $114.82 | Professional | 53 · Discontinued | $33.11 | $43.65 | $114.82 |
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· 48th of 51
$64.57
AK $162TX $51.29
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.