How much rates vary
Facilitymedian $74 · 10th to 90th $63 to $129Professionalmedian $63 · 10th to 90th $48 to $141
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 $37.15 Median $47.86 Typical High $51.29 | Facility | None | $37.15 | $47.86 | $51.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $51.29 | Professional | None (both parts) | $47.86 | $47.86 | $51.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $67.61 Median $69.18 Typical High $134.90 | Facility | None | $67.61 | $69.18 | $134.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $186.21 | Professional | None (both parts) | $63.10 | $63.10 | $186.21 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $6.31 Median $6.31 Typical High $13.49 | Professional | RR · Rental | $6.31 | $6.31 | $13.49 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $47.86 Median $47.86 Typical High $85.11 | Professional | UE · Used equipment | $47.86 | $47.86 | $85.11 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None (both parts) | $81.28 | $81.28 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $77.62 | Facility | None | $67.61 | $67.61 | $77.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None (both parts) | $48.98 | $48.98 | $48.98 |
Emblem Health Setting Facility Modifier None Typical Low $67.61 Median $109.65 Typical High $239.88 | Facility | None | $67.61 | $109.65 | $239.88 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $43.65 Median $74.13 Typical High $117.49 | Professional | None (both parts) | $43.65 | $74.13 | $117.49 |
Excellus BCBS Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $63.10 Median $70.79 Typical High $74.13 | Professional | None (both parts) | $63.10 | $70.79 | $74.13 |
MVP Health Care Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $114.82 | Professional | None (both parts) | $67.61 | $67.61 | $114.82 |
United Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $165.96 | Facility | None | $128.82 | $128.82 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $36.31 Median $57.54 Typical High $79.43 | Professional | None (both parts) | $36.31 | $57.54 | $79.43 |
Univera Setting Facility Modifier None Typical Low $63.10 Median $74.13 Typical High $74.13 | Facility | None | $63.10 | $74.13 | $74.13 |
Univera Setting Professional Modifier None (both parts) Typical Low $63.10 Median $70.79 Typical High $74.13 | Professional | None (both parts) | $63.10 | $70.79 | $74.13 |
3 more rates 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 $4.90 Median $7.41 Typical High $9.77 | Professional | 26 · Professional part | $4.90 | $7.41 | $9.77 |
Fidelis Setting Professional Modifier KX · Policy requirements met Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | KX · Policy requirements met | $48.98 | $48.98 | $48.98 |
Highmark BCBS Setting Professional Modifier CG · Policy criteria applied Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | CG · Policy criteria applied | $72.44 | $72.44 | $72.44 |
Where New York sits
The same service costs 3.6 times more in Hawaii than in Utah. 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· 26th of 51
$63.10
HI $129UT $35.48
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.