How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $9.33 Median $11.22 Typical High $11.48 | Facility | None | $9.33 | $11.22 | $11.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $11.22 Median $11.48 Typical High $11.48 | Professional | None (both parts) | $11.22 | $11.48 | $11.48 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $15.49 Median $17.78 Typical High $19.95 | Professional | None (both parts) | $15.49 | $17.78 | $19.95 |
CDPHP Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $4,073.80 | Facility | None | $1,348.96 | $1,348.96 | $4,073.80 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $14.13 Median $33.88 Typical High $33.88 | Professional | None (both parts) | $14.13 | $33.88 | $33.88 |
Highmark BCBS Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $19.05 Median $19.05 Typical High $30.20 | Professional | None (both parts) | $19.05 | $19.05 | $30.20 |
Univera Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $14.13 | Facility | None | $13.49 | $13.49 | $14.13 |
Univera Setting Professional Modifier None (both parts) Typical Low $14.13 Median $33.88 Typical High $33.88 | Professional | None (both parts) | $14.13 | $33.88 | $33.88 |
6 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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $6.17 Typical High $7.76 | Professional | 26 · Professional part | $6.17 | $6.17 | $7.76 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $11.75 Median $11.75 Typical High $14.79 | Professional | TC · Technical part | $11.75 | $11.75 | $14.79 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $5.25 Median $5.62 Typical High $33.88 | Professional | 26 · Professional part | $5.25 | $5.62 | $33.88 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $8.71 Median $8.71 Typical High $33.88 | Professional | TC · Technical part | $8.71 | $8.71 | $33.88 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $5.25 Median $5.62 Typical High $33.88 | Professional | 26 · Professional part | $5.25 | $5.62 | $33.88 |
Univera Setting Professional Modifier TC · Technical part Typical Low $8.51 Median $8.71 Typical High $33.88 | Professional | TC · Technical part | $8.51 | $8.71 | $33.88 |
Where New York sits
The same service costs 30.2 times more in Arizona than in New Jersey. 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· 36th of 51
$17.38
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.