How much rates vary
Facilitymedian $4,467 · 10th to 90th $955 to $4,467Professionalmedian $4,169 · 10th to 90th $955 to $4,467
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 $1,905.46 Median $2,511.89 Typical High $2,818.38 | Facility | None | $1,905.46 | $2,511.89 | $2,818.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,905.46 Median $2,511.89 Typical High $2,511.89 | Professional | None (both parts) | $1,905.46 | $2,511.89 | $2,511.89 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | UE · Used equipment | $1,445.44 | $1,445.44 | $1,445.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $4,168.69 Median $4,265.80 Typical High $5,888.44 | Professional | None (both parts) | $4,168.69 | $4,265.80 | $5,888.44 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $416.87 Median $426.58 Typical High $616.60 | Professional | RR · Rental | $416.87 | $426.58 | $616.60 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $3,162.28 Median $3,162.28 Typical High $3,235.94 | Professional | UE · Used equipment | $3,162.28 | $3,162.28 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Facility | None | $4,265.80 | $4,265.80 | $4,265.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $4,265.80 Median $4,265.80 Typical High $5,370.32 | Professional | None (both parts) | $4,265.80 | $4,265.80 | $5,370.32 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $3,630.78 Median $4,466.84 Typical High $14,125.38 | Professional | None (both parts) | $3,630.78 | $4,466.84 | $14,125.38 |
Excellus BCBS Setting Facility Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Facility | None | $4,466.84 | $4,466.84 | $4,466.84 |
Excellus BCBS Setting Facility Modifier RR · Rental Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | RR · Rental | $446.68 | $446.68 | $446.68 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,023.29 Typical High $4,466.84 | Professional | None (both parts) | $954.99 | $1,023.29 | $4,466.84 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $95.50 Median $102.33 Typical High $446.68 | Professional | RR · Rental | $95.50 | $102.33 | $446.68 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $524.81 Median $549.54 Typical High $724.44 | Professional | UE · Used equipment | $524.81 | $549.54 | $724.44 |
MVP Health Care Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $9,772.37 | Facility | None | $977.24 | $977.24 | $9,772.37 |
United Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None (both parts) | $64.57 | $64.57 | $64.57 |
Univera Setting Facility Modifier None Typical Low $954.99 Median $4,466.84 Typical High $4,466.84 | Facility | None | $954.99 | $4,466.84 | $4,466.84 |
Univera Setting Facility Modifier RR · Rental Typical Low $95.50 Median $446.68 Typical High $446.68 | Facility | RR · Rental | $95.50 | $446.68 | $446.68 |
Univera Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,023.29 Typical High $4,466.84 | Professional | None (both parts) | $954.99 | $1,023.29 | $4,466.84 |
Univera Setting Professional Modifier RR · Rental Typical Low $95.50 Median $102.33 Typical High $446.68 | Professional | RR · Rental | $95.50 | $102.33 | $446.68 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $524.81 Median $549.54 Typical High $724.44 | Professional | UE · Used equipment | $524.81 | $549.54 | $724.44 |
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 26 · Professional part Typical Low $389.05 Median $616.60 Typical High $831.76 | Professional | 26 · Professional part | $389.05 | $616.60 | $831.76 |
Where New York sits
The same service costs 138.0 times more in Nebraska than in Montana. 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· 14th of 51
$4,169
NE $10,965MT $79.43
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.