How much rates vary
Facilitymedian $759 · 10th to 90th $575 to $1,820Professionalmedian $631 · 10th to 90th $427 to $1,479
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 $354.81 Median $446.68 Typical High $660.69 | Facility | None | $354.81 | $446.68 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $660.69 | Professional | None (both parts) | $446.68 | $446.68 | $660.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,047.13 Median $1,071.52 Typical High $2,137.96 | Facility | None | $1,047.13 | $1,071.52 | $2,137.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $501.19 Median $501.19 Typical High $1,778.28 | Professional | None (both parts) | $501.19 | $501.19 | $1,778.28 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $50.12 Median $50.12 Typical High $107.15 | Professional | RR · Rental | $50.12 | $50.12 | $107.15 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $371.54 Median $371.54 Typical High $660.69 | Professional | UE · Used equipment | $371.54 | $371.54 | $660.69 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None (both parts) | $870.96 | $870.96 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $616.60 | Facility | None | $575.44 | $575.44 | $616.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None (both parts) | $426.58 | $426.58 | $426.58 |
Emblem Health Setting Facility Modifier None Typical Low $1,047.13 Median $1,737.80 Typical High $3,801.89 | Facility | None | $1,047.13 | $1,737.80 | $3,801.89 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $691.83 Median $1,047.13 Typical High $1,862.09 | Professional | None (both parts) | $691.83 | $1,047.13 | $1,862.09 |
Excellus BCBS Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $630.96 Median $758.58 Typical High $870.96 | Professional | None (both parts) | $630.96 | $758.58 | $870.96 |
MVP Health Care Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $645.65 Median $645.65 Typical High $1,548.82 | Professional | None (both parts) | $645.65 | $645.65 | $1,548.82 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,445.44 | Facility | None | $1,096.48 | $1,096.48 | $1,445.44 |
United Setting Professional Modifier None (both parts) Typical Low $346.74 Median $549.54 Typical High $794.33 | Professional | None (both parts) | $346.74 | $549.54 | $794.33 |
Univera Setting Facility Modifier None Typical Low $630.96 Median $758.58 Typical High $776.25 | Facility | None | $630.96 | $758.58 | $776.25 |
Univera Setting Professional Modifier None (both parts) Typical Low $630.96 Median $758.58 Typical High $870.96 | Professional | None (both parts) | $630.96 | $758.58 | $870.96 |
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 $23.99 Median $37.15 Typical High $48.98 | Professional | 26 · Professional part | $23.99 | $37.15 | $48.98 |
Where New York sits
The same service costs 2.8 times more in Hawaii 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· 20th of 51
$631
HI $1,175DE $427
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.