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 $20.89 Median $25.12 Typical High $41.69 | Facility | None | $20.89 | $25.12 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $41.69 | Professional | None | $20.89 | $20.89 | $41.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $275.42 Median $323.59 Typical High $380.19 | Professional | None | $275.42 | $323.59 | $380.19 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $27.54 Median $33.11 Typical High $38.02 | Professional | RR · Rental | $27.54 | $33.11 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
Emblem Health Setting Facility Modifier None Typical Low $40.74 Median $61.66 Typical High $147.91 | Facility | None | $40.74 | $61.66 | $147.91 |
Emblem Health Setting Professional Modifier None Typical Low $40.74 Median $48.98 Typical High $77.62 | Professional | None | $40.74 | $48.98 | $77.62 |
Excellus BCBS Setting Professional Modifier None Typical Low $31.62 Median $33.88 Typical High $35.48 | Professional | None | $31.62 | $33.88 | $35.48 |
MVP Health Care Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $60.26 | Professional | None | $28.84 | $28.84 | $60.26 |
United Setting Professional Modifier None Typical Low $14.13 Median $25.12 Typical High $31.62 | Professional | None | $14.13 | $25.12 | $31.62 |
Univera Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
Univera Setting Professional Modifier None Typical Low $31.62 Median $33.88 Typical High $35.48 | Professional | None | $31.62 | $33.88 | $35.48 |
1 more rate 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 UE · Used equipment Typical Low $25.12 Median $26.30 Typical High $30.90 | Professional | UE · Used equipment | $25.12 | $26.30 | $30.90 |
Where New York sits
The same service costs 14.5 times more in New York than in Utah. 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· 1st of 51
$302
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.