How much rates vary
Facilitymedian $794 · 10th to 90th $407 to $2,042Professionalmedian $692 · 10th to 90th $457 to $1,738
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 $398.11 Median $512.86 Typical High $741.31 | Facility | None | $398.11 | $512.86 | $741.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $512.86 Typical High $741.31 | Professional | None (both parts) | $512.86 | $512.86 | $741.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,202.26 Median $1,230.27 Typical High $2,398.83 | Facility | None | $1,202.26 | $1,230.27 | $2,398.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $676.08 Median $676.08 Typical High $2,089.30 | Professional | None (both parts) | $676.08 | $676.08 | $2,089.30 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $66.07 Median $66.07 Typical High $141.25 | Professional | RR · Rental | $66.07 | $66.07 | $141.25 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $489.78 Median $489.78 Typical High $870.96 | Professional | UE · Used equipment | $489.78 | $489.78 | $870.96 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None (both parts) | $977.24 | $977.24 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $1,047.13 | Facility | None | $954.99 | $954.99 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None (both parts) | $691.83 | $691.83 | $691.83 |
Emblem Health Setting Facility Modifier None Typical Low $1,202.26 Median $1,995.26 Typical High $4,365.16 | Facility | None | $1,202.26 | $1,995.26 | $4,365.16 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $776.25 Median $1,202.26 Typical High $2,137.96 | Professional | None (both parts) | $776.25 | $1,202.26 | $2,137.96 |
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 $707.95 Typical High $977.24 | Professional | None (both parts) | $407.38 | $707.95 | $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 $724.44 Median $724.44 Typical High $1,778.28 | Professional | None (both parts) | $724.44 | $724.44 | $1,778.28 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,905.46 | Facility | None | $1,479.11 | $1,479.11 | $1,905.46 |
United Setting Professional Modifier None (both parts) Typical Low $389.05 Median $630.96 Typical High $851.14 | Professional | None (both parts) | $389.05 | $630.96 | $851.14 |
Univera Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $707.95 | Facility | None | $407.38 | $407.38 | $707.95 |
Univera Setting Professional Modifier None (both parts) Typical Low $407.38 Median $707.95 Typical High $977.24 | Professional | None (both parts) | $407.38 | $707.95 | $977.24 |
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 $54.95 Median $79.43 Typical High $104.71 | Professional | 26 · Professional part | $54.95 | $79.43 | $104.71 |
Where New York sits
The same service costs 2.0 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· 41st of 51
$692
HI $1,259DC $617
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.