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 $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $173.78 | $173.78 | $173.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $436.52 | Professional | None (both parts) | $204.17 | $204.17 | $436.52 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $20.42 Median $20.42 Typical High $43.65 | Professional | RR · Rental | $20.42 | $20.42 | $43.65 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $151.36 Median $151.36 Typical High $275.42 | Professional | UE · Used equipment | $151.36 | $151.36 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None (both parts) | $190.55 | $190.55 | $190.55 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $141.25 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $141.25 | $177.83 | $177.83 |
Excellus BCBS Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $52.48 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $52.48 | $177.83 | $177.83 |
MVP Health Care Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
United Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $616.60 | Professional | None (both parts) | $64.57 | $64.57 | $616.60 |
Univera Setting Facility Modifier None Typical Low $53.70 Median $177.83 Typical High $213.80 | Facility | None | $53.70 | $177.83 | $213.80 |
Univera Setting Professional Modifier None (both parts) Typical Low $52.48 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $52.48 | $177.83 | $177.83 |
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 $16.60 Median $25.12 Typical High $33.11 | Professional | 26 · Professional part | $16.60 | $25.12 | $33.11 |
Where New York sits
The same service costs 32.4 times more in South Dakota than in Hawaii. 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· 8th of 51
$195
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.