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 $38.02 Median $58.88 Typical High $95.50 | Facility | None | $38.02 | $58.88 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $95.50 | Professional | None (both parts) | $58.88 | $58.88 | $95.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $204.17 | Facility | None | $102.33 | $102.33 | $204.17 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $51.29 Median $52.48 Typical High $169.82 | Professional | None (both parts) | $51.29 | $52.48 | $169.82 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5.13 Median $5.13 Typical High $13.18 | Professional | RR · Rental | $5.13 | $5.13 | $13.18 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $38.90 Median $38.90 Typical High $77.62 | Professional | UE · Used equipment | $38.90 | $38.90 | $77.62 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None (both parts) | $83.18 | $83.18 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None (both parts) | $44.67 | $44.67 | $44.67 |
Emblem Health Setting Facility Modifier None Typical Low $102.33 Median $165.96 Typical High $371.54 | Facility | None | $102.33 | $165.96 | $371.54 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $66.07 Median $112.20 Typical High $186.21 | Professional | None (both parts) | $66.07 | $112.20 | $186.21 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $63.10 Median $67.61 Typical High $83.18 | Professional | None (both parts) | $63.10 | $67.61 | $83.18 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $147.91 | Professional | None (both parts) | $61.66 | $61.66 | $147.91 |
United Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $162.18 | Facility | None | $123.03 | $123.03 | $162.18 |
United Setting Professional Modifier None (both parts) Typical Low $33.11 Median $52.48 Typical High $74.13 | Professional | None (both parts) | $33.11 | $52.48 | $74.13 |
Univera Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Univera Setting Professional Modifier None (both parts) Typical Low $63.10 Median $67.61 Typical High $83.18 | Professional | None (both parts) | $63.10 | $67.61 | $83.18 |
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 $6.46 Median $10.72 Typical High $13.80 | Professional | 26 · Professional part | $6.46 | $10.72 | $13.80 |
Where New York sits
The same service costs 2.3 times more in Montana than in New Mexico. 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· 33rd of 51
$58.88
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.