How much rates vary
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 $354.81 Median $457.09 Typical High $660.69 | Facility | None | $354.81 | $457.09 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $457.09 Typical High $660.69 | Professional | None (both parts) | $457.09 | $457.09 | $660.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,071.52 Median $1,096.48 Typical High $2,137.96 | Facility | None | $1,071.52 | $1,096.48 | $2,137.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $1,819.70 | Professional | None (both parts) | $562.34 | $562.34 | $1,819.70 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $56.23 Median $56.23 Typical High $120.23 | Professional | RR · Rental | $56.23 | $56.23 | $120.23 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $416.87 Median $416.87 Typical High $758.58 | Professional | UE · Used equipment | $416.87 | $416.87 | $758.58 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None (both parts) | $870.96 | $870.96 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $776.25 | Facility | None | $691.83 | $691.83 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None (both parts) | $512.86 | $512.86 | $512.86 |
Emblem Health Setting Facility Modifier None Typical Low $1,071.52 Median $1,778.28 Typical High $3,890.45 | Facility | None | $1,071.52 | $1,778.28 | $3,890.45 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $691.83 Median $1,071.52 Typical High $1,905.46 | Professional | None (both parts) | $691.83 | $1,071.52 | $1,905.46 |
Excellus BCBS Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $407.38 Median $630.96 Typical High $870.96 | Professional | None (both parts) | $407.38 | $630.96 | $870.96 |
Highmark BCBS Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
MVP Health Care Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $645.65 Median $645.65 Typical High $1,548.82 | Professional | None (both parts) | $645.65 | $645.65 | $1,548.82 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,698.24 | Facility | None | $1,318.26 | $1,318.26 | $1,698.24 |
United Setting Professional Modifier None (both parts) Typical Low $346.74 Median $549.54 Typical High $758.58 | Professional | None (both parts) | $346.74 | $549.54 | $758.58 |
Univera Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $630.96 | Facility | None | $407.38 | $407.38 | $630.96 |
Univera Setting Professional Modifier None (both parts) Typical Low $407.38 Median $630.96 Typical High $870.96 | Professional | None (both parts) | $407.38 | $630.96 | $870.96 |
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 $47.86 Median $70.79 Typical High $91.20 | Professional | 26 · Professional part | $47.86 | $70.79 | $91.20 |
Where New York sits
The same service costs 2.2 times more in Hawaii than in Delaware. 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
$603
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.