go back

New York rates for HCPCS 78428

Cardiac shunt detection

Facilitymedian $55 · 10th–90th $32–$1200%20%10th90th$55Professionalmedian $195 · 10th–90th $141–$4680%10%10th90th$195$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$37.15 / $56.23 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $181.97 / $436.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $194.98 / $457.09
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $208.93 / $263.03
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$8.71 / $40.74 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $302.00 / $794.33
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $245.47 / $371.54
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $218.78 / $363.08
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $257.04 / $275.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $223.87 / $501.19
Univera
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$29.51 / $38.02 / $128.82
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $229.09 / $407.38