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 $30.20 Median $30.90 Typical High $48.98 | Facility | None | $30.20 | $30.90 | $48.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $33.11 Typical High $48.98 | Professional | None (both parts) | $30.20 | $33.11 | $48.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $43.65 Median $51.29 Typical High $58.88 | Professional | None (both parts) | $43.65 | $51.29 | $58.88 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $37.15 Median $85.11 Typical High $85.11 | Professional | None (both parts) | $37.15 | $85.11 | $85.11 |
Highmark BCBS Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $56.23 Median $56.23 Typical High $87.10 | Professional | None (both parts) | $56.23 | $56.23 | $87.10 |
Univera Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $37.15 | Facility | None | $36.31 | $36.31 | $37.15 |
Univera Setting Professional Modifier None (both parts) Typical Low $35.48 Median $37.15 Typical High $85.11 | Professional | None (both parts) | $35.48 | $37.15 | $85.11 |
7 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 26 · Professional part Typical Low $9.12 Median $11.22 Typical High $36.31 | Professional | 26 · Professional part | $9.12 | $11.22 | $36.31 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.13 Typical High $17.38 | Professional | 26 · Professional part | $14.13 | $14.13 | $17.38 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $33.88 Typical High $41.69 | Professional | TC · Technical part | $33.88 | $33.88 | $41.69 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $14.13 Typical High $85.11 | Professional | 26 · Professional part | $11.75 | $14.13 | $85.11 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $25.70 Typical High $85.11 | Professional | TC · Technical part | $25.70 | $25.70 | $85.11 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $14.13 Typical High $85.11 | Professional | 26 · Professional part | $11.75 | $14.13 | $85.11 |
Univera Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $25.70 Typical High $85.11 | Professional | TC · Technical part | $21.38 | $25.70 | $85.11 |
Where New York sits
The same service costs 9.5 times more in Texas than in West Virginia. 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· 35th of 51
$50.12
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.