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 $72.44 Median $72.44 Typical High $93.33 | Facility | None | $72.44 | $72.44 | $93.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $93.33 | Professional | None (both parts) | $72.44 | $72.44 | $93.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $120.23 Median $123.03 Typical High $239.88 | Facility | None | $120.23 | $123.03 | $239.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $371.54 | Professional | None (both parts) | $39.81 | $39.81 | $371.54 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $29.51 Median $29.51 Typical High $58.88 | Professional | UE · Used equipment | $29.51 | $29.51 | $58.88 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $151.36 | $151.36 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $56.23 | Facility | None | $52.48 | $52.48 | $56.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None (both parts) | $38.02 | $38.02 | $38.02 |
Emblem Health Setting Facility Modifier None Typical Low $120.23 Median $199.53 Typical High $436.52 | Facility | None | $120.23 | $199.53 | $436.52 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $77.62 Median $131.83 Typical High $213.80 | Professional | None (both parts) | $77.62 | $131.83 | $213.80 |
Excellus BCBS Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $77.62 Median $97.72 Typical High $213.80 | Professional | None (both parts) | $77.62 | $97.72 | $213.80 |
MVP Health Care Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $257.04 | Professional | None (both parts) | $128.82 | $128.82 | $257.04 |
United Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $275.42 | Facility | None | $213.80 | $213.80 | $275.42 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $109.65 Typical High $154.88 | Professional | None (both parts) | $69.18 | $109.65 | $154.88 |
Univera Setting Facility Modifier None Typical Low $77.62 Median $213.80 Typical High $213.80 | Facility | None | $77.62 | $213.80 | $213.80 |
Univera Setting Professional Modifier None (both parts) Typical Low $77.62 Median $128.82 Typical High $213.80 | Professional | None (both parts) | $77.62 | $128.82 | $213.80 |
2 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 $28.18 Median $43.65 Typical High $57.54 | Professional | 26 · Professional part | $28.18 | $43.65 | $57.54 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $8.51 Median $11.48 Typical High $54.95 | Professional | RR · Rental | $8.51 | $11.48 | $54.95 |
Where New York sits
The same service costs 5.4 times more in Hawaii than in New Hampshire. 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· 23rd of 51
$97.72
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.