How much rates vary
Facilitymedian $141 · 10th to 90th $107 to $324Professionalmedian $115 · 10th to 90th $81 to $275
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 $81.28 Typical High $117.49 | Facility | None | $64.57 | $81.28 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $117.49 | Professional | None (both parts) | $81.28 | $81.28 | $117.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $190.55 Median $194.98 Typical High $380.19 | Facility | None | $190.55 | $194.98 | $380.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $331.13 | Professional | None (both parts) | $109.65 | $109.65 | $331.13 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $10.72 Median $10.72 Typical High $22.91 | Professional | RR · Rental | $10.72 | $10.72 | $22.91 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $79.43 Median $79.43 Typical High $141.25 | Professional | UE · Used equipment | $79.43 | $79.43 | $141.25 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $154.88 | $154.88 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $154.88 | Facility | None | $107.15 | $107.15 | $154.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None (both parts) | $77.62 | $77.62 | $77.62 |
Emblem Health Setting Facility Modifier None Typical Low $190.55 Median $316.23 Typical High $691.83 | Facility | None | $190.55 | $316.23 | $691.83 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $190.55 Typical High $338.84 | Professional | None (both parts) | $125.89 | $190.55 | $338.84 |
Excellus BCBS Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $141.25 Typical High $154.88 | Professional | None (both parts) | $109.65 | $141.25 | $154.88 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $151.36 | $151.36 | $151.36 |
MVP Health Care Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $281.84 | Professional | None (both parts) | $114.82 | $114.82 | $281.84 |
United Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $302.00 | Facility | None | $234.42 | $234.42 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $63.10 Median $100.00 Typical High $134.90 | Professional | None (both parts) | $63.10 | $100.00 | $134.90 |
Univera Setting Facility Modifier None Typical Low $107.15 Median $141.25 Typical High $141.25 | Facility | None | $107.15 | $141.25 | $141.25 |
Univera Setting Professional Modifier None (both parts) Typical Low $109.65 Median $141.25 Typical High $154.88 | Professional | None (both parts) | $109.65 | $141.25 | $154.88 |
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 $8.71 Median $12.59 Typical High $16.60 | Professional | 26 · Professional part | $8.71 | $12.59 | $16.60 |
Where New York sits
The same service costs 2.6 times more in Kansas 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
$115
KS $204DE $77.62
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.