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 $281.84 Median $363.08 Typical High $524.81 | Facility | None | $281.84 | $363.08 | $524.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $524.81 | Professional | None (both parts) | $363.08 | $363.08 | $524.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $851.14 Median $870.96 Typical High $1,698.24 | Facility | None | $851.14 | $870.96 | $1,698.24 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $436.52 Median $436.52 Typical High $1,445.44 | Professional | None (both parts) | $436.52 | $436.52 | $1,445.44 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $43.65 Median $43.65 Typical High $93.33 | Professional | RR · Rental | $43.65 | $43.65 | $93.33 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $331.13 Median $331.13 Typical High $588.84 | Professional | UE · Used equipment | $331.13 | $331.13 | $588.84 |
CDPHP 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 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $549.54 | Facility | None | $512.86 | $512.86 | $549.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None (both parts) | $371.54 | $371.54 | $371.54 |
Emblem Health Setting Facility Modifier None Typical Low $851.14 Median $1,412.54 Typical High $3,090.30 | Facility | None | $851.14 | $1,412.54 | $3,090.30 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $549.54 Median $891.25 Typical High $1,513.56 | Professional | None (both parts) | $549.54 | $891.25 | $1,513.56 |
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 $501.19 Typical High $691.83 | Professional | None (both parts) | $407.38 | $501.19 | $691.83 |
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 $512.86 Median $512.86 Typical High $1,258.93 | Professional | None (both parts) | $512.86 | $512.86 | $1,258.93 |
United Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $1,258.93 | Facility | None | $977.24 | $977.24 | $1,258.93 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $446.68 Typical High $602.56 | Professional | None (both parts) | $275.42 | $446.68 | $602.56 |
Univera Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $501.19 | Facility | None | $407.38 | $407.38 | $501.19 |
Univera Setting Professional Modifier None (both parts) Typical Low $407.38 Median $501.19 Typical High $691.83 | Professional | None (both parts) | $407.38 | $501.19 | $691.83 |
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 $38.90 Median $56.23 Typical High $74.13 | Professional | 26 · Professional part | $38.90 | $56.23 | $74.13 |
Where New York sits
The same service costs 3.8 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· 25th of 51
$479
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.