How much rates vary
Facilitymedian $95 · 10th to 90th $76 to $282Professionalmedian $93 · 10th to 90th $72 to $234
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 $72.44 Median $77.62 Typical High $512.86 | Facility | None | $72.44 | $77.62 | $512.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $104.71 | Professional | None (both parts) | $72.44 | $72.44 | $104.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $338.84 | Facility | None | $169.82 | $169.82 | $338.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $288.40 | Professional | None (both parts) | $89.13 | $89.13 | $288.40 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $8.51 Median $8.51 Typical High $18.62 | Professional | RR · Rental | $8.51 | $8.51 | $18.62 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $64.57 Median $64.57 Typical High $114.82 | Professional | UE · Used equipment | $64.57 | $64.57 | $114.82 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None (both parts) | $138.04 | $138.04 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $141.25 | Facility | None | $114.82 | $114.82 | $141.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None (both parts) | $85.11 | $85.11 | $85.11 |
Emblem Health Setting Facility Modifier None Typical Low $169.82 Median $275.42 Typical High $602.56 | Facility | None | $169.82 | $275.42 | $602.56 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $109.65 Median $169.82 Typical High $295.12 | Professional | None (both parts) | $109.65 | $169.82 | $295.12 |
Excellus BCBS Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $75.86 Median $95.50 Typical High $138.04 | Professional | None (both parts) | $75.86 | $95.50 | $138.04 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $134.90 | $134.90 | $134.90 |
MVP Health Care Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $245.47 | Professional | None (both parts) | $97.72 | $97.72 | $245.47 |
United Setting Facility Modifier None Typical Low $72.44 Median $89.13 Typical High $234.42 | Facility | None | $72.44 | $89.13 | $234.42 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $87.10 Typical High $120.23 | Professional | None (both parts) | $54.95 | $87.10 | $120.23 |
Univera Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $95.50 | Facility | None | $75.86 | $75.86 | $95.50 |
Univera Setting Professional Modifier None (both parts) Typical Low $75.86 Median $95.50 Typical High $138.04 | Professional | None (both parts) | $75.86 | $95.50 | $138.04 |
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 $7.24 Median $10.72 Typical High $14.45 | Professional | 26 · Professional part | $7.24 | $10.72 | $14.45 |
Where New York sits
The same service costs 2.4 times more in Hawaii than in Washington, DC. 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· 29th of 51
$93.33
HI $200DC $83.18
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.