How much rates vary
Facilitymedian $912 · 10th to 90th $759 to $2,291Professionalmedian $794 · 10th to 90th $550 to $2,042
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 $426.58 Median $549.54 Typical High $794.33 | Facility | None | $426.58 | $549.54 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $549.54 Median $549.54 Typical High $2,187.76 | Professional | None (both parts) | $549.54 | $549.54 | $2,187.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,288.25 Median $1,318.26 Typical High $2,570.40 | Facility | None | $1,288.25 | $1,318.26 | $2,570.40 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $794.33 Median $794.33 Typical High $2,290.87 | Professional | None (both parts) | $794.33 | $794.33 | $2,290.87 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $75.86 Median $75.86 Typical High $165.96 | Professional | RR · Rental | $75.86 | $75.86 | $165.96 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $575.44 Median $575.44 Typical High $1,023.29 | Professional | UE · Used equipment | $575.44 | $575.44 | $1,023.29 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None (both parts) | $1,047.13 | $1,047.13 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $1,000.00 | Facility | None | $912.01 | $912.01 | $1,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None (both parts) | $660.69 | $660.69 | $660.69 |
Emblem Health Setting Facility Modifier None Typical Low $1,288.25 Median $2,137.96 Typical High $4,677.35 | Facility | None | $1,288.25 | $2,137.96 | $4,677.35 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,348.96 Typical High $2,290.87 | Professional | None (both parts) | $831.76 | $1,348.96 | $2,290.87 |
Excellus BCBS Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $758.58 Median $851.14 Typical High $1,047.13 | Professional | None (both parts) | $758.58 | $851.14 | $1,047.13 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None (both parts) | $1,023.29 | $1,023.29 | $1,023.29 |
MVP Health Care Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $891.25 Median $891.25 Typical High $1,862.09 | Professional | None (both parts) | $891.25 | $891.25 | $1,862.09 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,238.72 | Facility | None | $1,737.80 | $1,737.80 | $2,238.72 |
United Setting Professional Modifier None (both parts) Typical Low $416.87 Median $676.08 Typical High $954.99 | Professional | None (both parts) | $416.87 | $676.08 | $954.99 |
Univera Setting Facility Modifier None Typical Low $724.44 Median $851.14 Typical High $851.14 | Facility | None | $724.44 | $851.14 | $851.14 |
Univera Setting Professional Modifier None (both parts) Typical Low $758.58 Median $851.14 Typical High $1,047.13 | Professional | None (both parts) | $758.58 | $851.14 | $1,047.13 |
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 $18.20 Median $28.18 Typical High $37.15 | Professional | 26 · Professional part | $18.20 | $28.18 | $37.15 |
Where New York sits
The same service costs 2.5 times more in Hawaii than in Arizona. 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· 36th of 51
$794
HI $1,585AZ $631
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.