How much rates vary
Facilitymedian $68 · 10th to 90th $41 to $200Professionalmedian $72 · 10th to 90th $46 to $170
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 $39.81 Median $50.12 Typical High $72.44 | Facility | None | $39.81 | $50.12 | $72.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $72.44 | Professional | None (both parts) | $50.12 | $50.12 | $72.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $117.49 Median $120.23 Typical High $234.42 | Facility | None | $117.49 | $120.23 | $234.42 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $208.93 | Professional | None (both parts) | $72.44 | $72.44 | $208.93 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $7.24 Median $7.24 Typical High $15.49 | Professional | RR · Rental | $7.24 | $7.24 | $15.49 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $53.70 Median $53.70 Typical High $107.15 | Professional | UE · Used equipment | $53.70 | $53.70 | $107.15 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None (both parts) | $97.72 | $97.72 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $77.62 | Facility | None | $70.79 | $70.79 | $77.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $57.54 | Professional | None (both parts) | $51.29 | $51.29 | $57.54 |
Emblem Health Setting Facility Modifier None Typical Low $117.49 Median $194.98 Typical High $426.58 | Facility | None | $117.49 | $194.98 | $426.58 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $77.62 Median $125.89 Typical High $208.93 | Professional | None (both parts) | $77.62 | $125.89 | $208.93 |
Excellus BCBS Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $40.74 Median $67.61 Typical High $97.72 | Professional | None (both parts) | $40.74 | $67.61 | $97.72 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $93.33 | $93.33 | $93.33 |
MVP Health Care Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $173.78 | Professional | None (both parts) | $69.18 | $69.18 | $173.78 |
United Setting Facility Modifier None Typical Low $52.48 Median $67.61 Typical High $186.21 | Facility | None | $52.48 | $67.61 | $186.21 |
United Setting Professional Modifier None (both parts) Typical Low $38.90 Median $61.66 Typical High $87.10 | Professional | None (both parts) | $38.90 | $61.66 | $87.10 |
Univera Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $67.61 | Facility | None | $40.74 | $40.74 | $67.61 |
Univera Setting Professional Modifier None (both parts) Typical Low $40.74 Median $67.61 Typical High $97.72 | Professional | None (both parts) | $40.74 | $67.61 | $97.72 |
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 $5.37 Median $7.76 Typical High $10.23 | Professional | 26 · Professional part | $5.37 | $7.76 | $10.23 |
Where New York sits
The same service costs 2.8 times more in Wyoming 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
$72.44
WY $145DE $51.29
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.