How much rates vary
Facilitymedian $129 · 10th to 90th $112 to $331Professionalmedian $110 · 10th to 90th $83 to $263
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 $64.57 Median $83.18 Typical High $120.23 | Facility | None | $64.57 | $83.18 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $120.23 | Professional | None (both parts) | $83.18 | $83.18 | $120.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $194.98 Median $199.53 Typical High $389.05 | Facility | None | $194.98 | $199.53 | $389.05 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $104.71 Median $109.65 Typical High $331.13 | Professional | None (both parts) | $104.71 | $109.65 | $331.13 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $10.47 Median $10.47 Typical High $23.44 | Professional | RR · Rental | $10.47 | $10.47 | $23.44 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $79.43 Median $79.43 Typical High $151.36 | Professional | UE · Used equipment | $79.43 | $79.43 | $151.36 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $158.49 | $158.49 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $123.03 | Facility | None | $112.20 | $112.20 | $123.03 |
Cigna 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 |
Emblem Health Setting Facility Modifier None Typical Low $194.98 Median $323.59 Typical High $707.95 | Facility | None | $194.98 | $323.59 | $707.95 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $204.17 Typical High $346.74 | Professional | None (both parts) | $125.89 | $204.17 | $346.74 |
Excellus BCBS Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $114.82 Median $128.82 Typical High $158.49 | Professional | None (both parts) | $114.82 | $128.82 | $158.49 |
MVP Health Care Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $281.84 | Professional | None (both parts) | $117.49 | $117.49 | $281.84 |
United Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $309.03 | Facility | None | $234.42 | $234.42 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $63.10 Median $100.00 Typical High $138.04 | Professional | None (both parts) | $63.10 | $100.00 | $138.04 |
Univera Setting Facility Modifier None Typical Low $109.65 Median $128.82 Typical High $128.82 | Facility | None | $109.65 | $128.82 | $128.82 |
Univera Setting Professional Modifier None (both parts) Typical Low $114.82 Median $128.82 Typical High $158.49 | Professional | None (both parts) | $114.82 | $128.82 | $158.49 |
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 2.6 times more in Montana 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· 34th of 51
$110
MT $209DE $81.28
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.