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 $33.88 Median $42.66 Typical High $44.67 | Facility | None | $33.88 | $42.66 | $44.67 |
Aetna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $42.66 Typical High $44.67 | Professional | None (both parts) | $42.66 | $42.66 | $44.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $57.54 Median $58.88 Typical High $114.82 | Facility | None | $57.54 | $58.88 | $114.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $169.82 | Professional | None (both parts) | $54.95 | $54.95 | $169.82 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5.50 Median $5.50 Typical High $12.88 | Professional | RR · Rental | $5.50 | $5.50 | $12.88 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $40.74 Median $40.74 Typical High $81.28 | Professional | UE · Used equipment | $40.74 | $40.74 | $81.28 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None (both parts) | $72.44 | $72.44 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $64.57 | Facility | None | $57.54 | $57.54 | $64.57 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None (both parts) | $41.69 | $41.69 | $41.69 |
Emblem Health Setting Facility Modifier None Typical Low $57.54 Median $93.33 Typical High $208.93 | Facility | None | $57.54 | $93.33 | $208.93 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $37.15 Median $63.10 Typical High $102.33 | Professional | None (both parts) | $37.15 | $63.10 | $102.33 |
Excellus BCBS Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $57.54 Median $61.66 Typical High $66.07 | Professional | None (both parts) | $57.54 | $61.66 | $66.07 |
MVP Health Care Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $100.00 | Professional | None (both parts) | $61.66 | $61.66 | $100.00 |
United Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $131.83 | Facility | None | $100.00 | $100.00 | $131.83 |
United Setting Professional Modifier None (both parts) Typical Low $33.11 Median $50.12 Typical High $69.18 | Professional | None (both parts) | $33.11 | $50.12 | $69.18 |
Univera Setting Facility Modifier None Typical Low $57.54 Median $66.07 Typical High $66.07 | Facility | None | $57.54 | $66.07 | $66.07 |
Univera Setting Professional Modifier None (both parts) Typical Low $57.54 Median $61.66 Typical High $66.07 | Professional | None (both parts) | $57.54 | $61.66 | $66.07 |
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 $16.22 Median $24.55 Typical High $32.36 | Professional | 26 · Professional part | $16.22 | $24.55 | $32.36 |
Where New York sits
The same service costs 3.2 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· 16th of 51
$57.54
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.