How much rates vary
Facilitymedian $813 · 10th to 90th $724 to $2,089Professionalmedian $741 · 10th to 90th $550 to $1,738
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 $407.38 Median $524.81 Typical High $758.58 | Facility | None | $407.38 | $524.81 | $758.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $524.81 Median $524.81 Typical High $758.58 | Professional | None (both parts) | $524.81 | $524.81 | $758.58 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,230.27 Median $1,258.93 Typical High $2,454.71 | Facility | None | $1,230.27 | $1,258.93 | $2,454.71 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $676.08 Median $676.08 Typical High $2,137.96 | Professional | None (both parts) | $676.08 | $676.08 | $2,137.96 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $66.07 Median $66.07 Typical High $141.25 | Professional | RR · Rental | $66.07 | $66.07 | $141.25 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $501.19 Median $501.19 Typical High $891.25 | Professional | UE · Used equipment | $501.19 | $501.19 | $891.25 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | None (both parts) | $1,000.00 | $1,000.00 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $831.76 | Facility | None | $758.58 | $758.58 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None (both parts) | $549.54 | $549.54 | $549.54 |
Emblem Health Setting Facility Modifier None Typical Low $1,230.27 Median $2,041.74 Typical High $4,466.84 | Facility | None | $1,230.27 | $2,041.74 | $4,466.84 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $794.33 Median $1,230.27 Typical High $2,187.76 | Professional | None (both parts) | $794.33 | $1,230.27 | $2,187.76 |
Excellus BCBS Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $724.44 Median $812.83 Typical High $1,000.00 | Professional | None (both parts) | $724.44 | $812.83 | $1,000.00 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None (both parts) | $977.24 | $977.24 | $977.24 |
MVP Health Care Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $851.14 Median $851.14 Typical High $1,778.28 | Professional | None (both parts) | $851.14 | $851.14 | $1,778.28 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,949.84 | Facility | None | $1,513.56 | $1,513.56 | $1,949.84 |
United Setting Professional Modifier None (both parts) Typical Low $398.11 Median $645.65 Typical High $870.96 | Professional | None (both parts) | $398.11 | $645.65 | $870.96 |
Univera Setting Facility Modifier None Typical Low $691.83 Median $812.83 Typical High $812.83 | Facility | None | $691.83 | $812.83 | $812.83 |
Univera Setting Professional Modifier None (both parts) Typical Low $724.44 Median $812.83 Typical High $1,000.00 | Professional | None (both parts) | $724.44 | $812.83 | $1,000.00 |
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 2.2 times more in Iowa 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· 25th of 51
$741
IA $1,230DE $550
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.