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 $1,548.82 Median $3,019.95 Typical High $3,235.94 | Facility | None | $1,548.82 | $3,019.95 | $3,235.94 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $3,019.95 Typical High $3,019.95 | Professional | None (both parts) | $1,548.82 | $3,019.95 | $3,019.95 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | UE · Used equipment | $1,174.90 | $1,174.90 | $1,174.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $3,388.44 Median $3,388.44 Typical High $5,754.40 | Professional | None (both parts) | $3,388.44 | $3,388.44 | $5,754.40 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | UE · Used equipment | $2,570.40 | $2,570.40 | $2,570.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $3,801.89 Median $3,801.89 Typical High $4,786.30 | Professional | None (both parts) | $3,801.89 | $3,801.89 | $4,786.30 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $15,135.61 Median $15,135.61 Typical High $15,135.61 | Professional | None (both parts) | $15,135.61 | $15,135.61 | $15,135.61 |
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 |
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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $616.60 Typical High $691.83 | Professional | 26 · Professional part | $371.54 | $616.60 | $691.83 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $302.00 Median $446.68 Typical High $1,000.00 | Professional | RR · Rental | $302.00 | $446.68 | $1,000.00 |
Where New York sits
The same service costs 269.2 times more in Alabama 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· 12th of 50
$3,388
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.