How much rates vary
Facilitymedian $204 · 10th to 90th $132 to $525Professionalmedian $191 · 10th to 90th $132 to $501
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 $104.71 Median $134.90 Typical High $194.98 | Facility | None | $104.71 | $134.90 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $537.03 | Professional | None (both parts) | $134.90 | $134.90 | $537.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $251.19 | $251.19 | $251.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $316.23 Median $323.59 Typical High $630.96 | Facility | None | $316.23 | $323.59 | $630.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $562.34 | Professional | None (both parts) | $190.55 | $190.55 | $562.34 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $18.62 Median $18.62 Typical High $39.81 | Professional | RR · Rental | $18.62 | $18.62 | $39.81 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $141.25 Median $141.25 Typical High $251.19 | Professional | UE · Used equipment | $141.25 | $141.25 | $251.19 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $257.04 | $257.04 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $245.47 | Facility | None | $218.78 | $218.78 | $245.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $218.78 | Professional | None (both parts) | $158.49 | $158.49 | $218.78 |
Emblem Health Setting Facility Modifier None Typical Low $316.23 Median $524.81 Typical High $1,148.15 | Facility | None | $316.23 | $524.81 | $1,148.15 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $204.17 Median $331.13 Typical High $562.34 | Professional | None (both parts) | $204.17 | $331.13 | $562.34 |
Excellus BCBS Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $177.83 Typical High $257.04 | Professional | None (both parts) | $131.83 | $177.83 | $257.04 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $251.19 | $251.19 | $251.19 |
MVP Health Care Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $457.09 | Professional | None (both parts) | $186.21 | $186.21 | $457.09 |
United Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $501.19 | Facility | None | $204.17 | $204.17 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $102.33 Median $162.18 Typical High $234.42 | Professional | None (both parts) | $102.33 | $162.18 | $234.42 |
Univera Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $177.83 | Facility | None | $131.83 | $131.83 | $177.83 |
Univera Setting Professional Modifier None (both parts) Typical Low $131.83 Median $177.83 Typical High $257.04 | Professional | None (both parts) | $131.83 | $177.83 | $257.04 |
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 $13.80 Median $20.89 Typical High $26.92 | Professional | 26 · Professional part | $13.80 | $20.89 | $26.92 |
Where New York sits
The same service costs 3.4 times more in Hawaii than in Alabama. 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
$191
HI $537AL $158
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.