How much rates vary
Facilitymedian $43 · 10th to 90th $34 to $282Professionalmedian $79 · 10th to 90th $63 to $141
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 $72.44 Median $114.82 Typical High $239.88 | Facility | None | $72.44 | $114.82 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $131.83 | Professional | None (both parts) | $72.44 | $72.44 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $47.86 | Professional | 26 · Professional part | $29.51 | $29.51 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $41.69 Typical High $91.20 | Professional | TC · Technical part | $41.69 | $41.69 | $91.20 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $63.10 Median $75.86 Typical High $112.20 | Professional | None (both parts) | $63.10 | $75.86 | $112.20 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $31.62 Typical High $39.81 | Professional | 26 · Professional part | $26.92 | $31.62 | $39.81 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $43.65 Typical High $83.18 | Professional | TC · Technical part | $37.15 | $43.65 | $83.18 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $48.98 Median $97.72 Typical High $147.91 | Professional | None (both parts) | $48.98 | $97.72 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $100.00 Typical High $288.40 | Facility | None | $75.86 | $100.00 | $288.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $87.10 Typical High $257.04 | Professional | None (both parts) | $83.18 | $87.10 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $26.30 Typical High $95.50 | Professional | 26 · Professional part | $25.12 | $26.30 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $60.26 Typical High $169.82 | Professional | TC · Technical part | $48.98 | $60.26 | $169.82 |
Emblem Health Setting Facility Modifier None Typical Low $20.89 Median $83.18 Typical High $288.40 | Facility | None | $20.89 | $83.18 | $288.40 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $97.72 Median $125.89 Typical High $190.55 | Professional | None (both parts) | $97.72 | $125.89 | $190.55 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $39.81 Typical High $63.10 | Professional | 26 · Professional part | $26.30 | $39.81 | $63.10 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $91.20 Typical High $131.83 | Professional | TC · Technical part | $87.10 | $91.20 | $131.83 |
Excellus BCBS Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | TC · Technical part | $21.38 | $21.38 | $21.38 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $81.28 Median $89.13 Typical High $107.15 | Professional | None (both parts) | $81.28 | $89.13 | $107.15 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $29.51 Typical High $36.31 | Professional | 26 · Professional part | $27.54 | $29.51 | $36.31 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $61.66 Typical High $70.79 | Professional | TC · Technical part | $53.70 | $61.66 | $70.79 |
Highmark BCBS Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $251.19 | Facility | None | $204.17 | $204.17 | $251.19 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $38.90 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $38.90 | $112.20 | $112.20 |
MVP Health Care Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $123.03 Median $125.89 Typical High $173.78 | Professional | None (both parts) | $123.03 | $125.89 | $173.78 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $45.71 Typical High $89.13 | Professional | 26 · Professional part | $35.48 | $45.71 | $89.13 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $77.62 Typical High $181.97 | Professional | TC · Technical part | $58.88 | $77.62 | $181.97 |
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 $74.13 Median $97.72 Typical High $257.04 | Professional | None (both parts) | $74.13 | $97.72 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $34.67 Typical High $93.33 | Professional | 26 · Professional part | $26.92 | $34.67 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $61.66 Typical High $165.96 | Professional | TC · Technical part | $51.29 | $61.66 | $165.96 |
Univera Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $169.82 | Facility | None | $35.48 | $35.48 | $169.82 |
Univera Setting Facility Modifier TC · Technical part Typical Low $21.38 Median $21.38 Typical High $70.79 | Facility | TC · Technical part | $21.38 | $21.38 | $70.79 |
Univera Setting Professional Modifier None (both parts) Typical Low $81.28 Median $89.13 Typical High $107.15 | Professional | None (both parts) | $81.28 | $89.13 | $107.15 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $28.84 Typical High $36.31 | Professional | 26 · Professional part | $26.30 | $28.84 | $36.31 |
Univera Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $61.66 Typical High $70.79 | Professional | TC · Technical part | $53.70 | $61.66 | $70.79 |
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 $35.48 Median $35.48 Typical High $56.23 | Professional | 52 · Reduced service | $35.48 | $35.48 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $14.45 Typical High $22.91 | Professional | 53 · Discontinued | $14.45 | $14.45 | $22.91 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 59 · Distinct service | $104.71 | $104.71 | $104.71 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $61.66 Typical High $134.90 | Professional | 53 · Discontinued | $46.77 | $61.66 | $134.90 |
Where New York sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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
$79.43
AK $229KY $64.57
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.