How much rates vary
Facilitymedian $69 · 10th to 90th $66 to $200Professionalmedian $69 · 10th to 90th $50 to $166
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 $38.90 Median $53.70 Typical High $72.44 | Facility | None | $38.90 | $53.70 | $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 $66.07 Median $66.07 Typical High $204.17 | Professional | None (both parts) | $66.07 | $66.07 | $204.17 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $6.46 Median $6.46 Typical High $13.80 | Professional | RR · Rental | $6.46 | $6.46 | $13.80 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $47.86 Median $47.86 Typical High $85.11 | Professional | UE · Used equipment | $47.86 | $47.86 | $85.11 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None (both parts) | $95.50 | $95.50 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $72.44 | Facility | None | $66.07 | $66.07 | $72.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $60.26 | Professional | None (both parts) | $47.86 | $47.86 | $60.26 |
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 $75.86 Median $117.49 Typical High $208.93 | Professional | None (both parts) | $75.86 | $117.49 | $208.93 |
Excellus BCBS Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $66.07 Median $69.18 Typical High $95.50 | Professional | None (both parts) | $66.07 | $69.18 | $95.50 |
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 $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $169.82 | Professional | None (both parts) | $70.79 | $70.79 | $169.82 |
United Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $186.21 | Facility | None | $144.54 | $144.54 | $186.21 |
United Setting Professional Modifier None (both parts) Typical Low $38.02 Median $60.26 Typical High $83.18 | Professional | None (both parts) | $38.02 | $60.26 | $83.18 |
Univera Setting Facility Modifier None Typical Low $66.07 Median $69.18 Typical High $77.62 | Facility | None | $66.07 | $69.18 | $77.62 |
Univera Setting Professional Modifier None (both parts) Typical Low $66.07 Median $69.18 Typical High $95.50 | Professional | None (both parts) | $66.07 | $69.18 | $95.50 |
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 $5.13 Median $7.76 Typical High $10.00 | Professional | 26 · Professional part | $5.13 | $7.76 | $10.00 |
Where New York sits
The same service costs 2.5 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· 26th of 51
$69.18
KS $126DE $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.