How much rates vary
Facilitymedian $21 · 10th to 90th $13 to $85Professionalmedian $17 · 10th to 90th $10 to $22
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 $20.42 Median $20.89 Typical High $21.38 | Facility | None | $20.42 | $20.89 | $21.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $20.42 Median $21.38 Typical High $21.38 | Professional | None (both parts) | $20.42 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $8.71 Typical High $9.77 | Professional | 26 · Professional part | $8.71 | $8.71 | $9.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $10.47 Median $12.59 Typical High $12.59 | Professional | TC · Technical part | $10.47 | $12.59 | $12.59 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $8.51 Median $16.60 Typical High $19.50 | Professional | None (both parts) | $8.51 | $16.60 | $19.50 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $7.59 Typical High $8.91 | Professional | 26 · Professional part | $6.46 | $7.59 | $8.91 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $7.76 Median $9.12 Typical High $15.14 | Professional | TC · Technical part | $7.76 | $9.12 | $15.14 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $12.30 Median $14.79 Typical High $26.92 | Professional | None (both parts) | $12.30 | $14.79 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None (both parts) | $17.78 | $17.78 | $17.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 26 · Professional part | $7.41 | $7.41 | $7.41 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | TC · Technical part | $10.23 | $10.23 | $10.23 |
Emblem Health Setting Facility Modifier None Typical Low $12.02 Median $19.05 Typical High $46.77 | Facility | None | $12.02 | $19.05 | $46.77 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $22.91 Median $22.91 Typical High $34.67 | Professional | None (both parts) | $22.91 | $22.91 | $34.67 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $9.55 Typical High $14.79 | Professional | 26 · Professional part | $9.33 | $9.55 | $14.79 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $13.49 Typical High $20.42 | Professional | TC · Technical part | $13.18 | $13.49 | $20.42 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $15.49 Median $18.20 Typical High $36.31 | Professional | None (both parts) | $15.49 | $18.20 | $36.31 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $7.76 Typical High $13.80 | Professional | 26 · Professional part | $6.03 | $7.76 | $13.80 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $9.55 Median $10.47 Typical High $21.88 | Professional | TC · Technical part | $9.55 | $10.47 | $21.88 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $15.49 Median $15.49 Typical High $26.30 | Professional | None (both parts) | $15.49 | $15.49 | $26.30 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.72 Typical High $13.80 | Professional | 26 · Professional part | $8.71 | $10.72 | $13.80 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $10.00 Median $13.18 Typical High $18.20 | Professional | TC · Technical part | $10.00 | $13.18 | $18.20 |
United Setting Facility Modifier None Typical Low $75.86 Median $87.10 Typical High $107.15 | Facility | None | $75.86 | $87.10 | $107.15 |
United Setting Professional Modifier None (both parts) Typical Low $14.45 Median $19.05 Typical High $33.88 | Professional | None (both parts) | $14.45 | $19.05 | $33.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $8.32 Typical High $14.45 | Professional | 26 · Professional part | $6.17 | $8.32 | $14.45 |
United Setting Professional Modifier TC · Technical part Typical Low $8.32 Median $10.96 Typical High $19.05 | Professional | TC · Technical part | $8.32 | $10.96 | $19.05 |
Univera Setting Facility Modifier None Typical Low $15.49 Median $20.42 Typical High $28.18 | Facility | None | $15.49 | $20.42 | $28.18 |
Univera Setting Professional Modifier None (both parts) Typical Low $12.30 Median $18.20 Typical High $30.20 | Professional | None (both parts) | $12.30 | $18.20 | $30.20 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $4.68 Median $7.76 Typical High $11.75 | Professional | 26 · Professional part | $4.68 | $7.76 | $11.75 |
Univera Setting Professional Modifier TC · Technical part Typical Low $7.59 Median $10.47 Typical High $18.62 | Professional | TC · Technical part | $7.59 | $10.47 | $18.62 |
2 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 $10.00 Median $10.72 Typical High $10.72 | Professional | 52 · Reduced service | $10.00 | $10.72 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.27 Typical High $4.27 | Professional | 53 · Discontinued | $4.07 | $4.27 | $4.27 |
Where New York sits
The same service costs 2.3 times more in Wisconsin than in North Carolina. 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· 50th of 51
$17.38
WI $39.81NC $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.