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 $13.49 Median $16.22 Typical High $17.78 | Facility | None | $13.49 | $16.22 | $17.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $16.22 Median $16.22 Typical High $20.42 | Professional | None (both parts) | $16.22 | $16.22 | $20.42 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $21.38 Median $25.12 Typical High $28.18 | Professional | None (both parts) | $21.38 | $25.12 | $28.18 |
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 $23.44 Median $52.48 Typical High $52.48 | Professional | None (both parts) | $23.44 | $52.48 | $52.48 |
Highmark BCBS Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $26.92 Median $26.92 Typical High $42.66 | Professional | None (both parts) | $26.92 | $26.92 | $42.66 |
Univera Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $23.44 | Facility | None | $22.39 | $22.39 | $23.44 |
Univera Setting Professional Modifier None (both parts) Typical Low $23.44 Median $23.99 Typical High $52.48 | Professional | None (both parts) | $23.44 | $23.99 | $52.48 |
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 $10.00 Median $10.00 Typical High $12.59 | Professional | 26 · Professional part | $10.00 | $10.00 | $12.59 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $19.50 Typical High $24.55 | Professional | TC · Technical part | $19.50 | $19.50 | $24.55 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $9.77 Typical High $52.48 | Professional | 26 · Professional part | $8.51 | $9.77 | $52.48 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $14.79 Typical High $52.48 | Professional | TC · Technical part | $14.79 | $14.79 | $52.48 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $9.77 Typical High $52.48 | Professional | 26 · Professional part | $8.51 | $9.77 | $52.48 |
Univera Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $14.79 Typical High $52.48 | Professional | TC · Technical part | $14.45 | $14.79 | $52.48 |
Where New York sits
The same service costs 20.9 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· 38th of 51
$24.55
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.