How much rates vary
Facilitymedian $1,000 · 10th to 90th $832 to $2,399Professionalmedian $832 · 10th to 90th $631 to $1,995
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 $467.74 Median $602.56 Typical High $870.96 | Facility | None | $467.74 | $602.56 | $870.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $602.56 Median $602.56 Typical High $870.96 | Professional | None (both parts) | $602.56 | $602.56 | $870.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $2,818.38 | Facility | None | $1,412.54 | $1,412.54 | $2,818.38 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $758.58 Median $758.58 Typical High $2,398.83 | Professional | None (both parts) | $758.58 | $758.58 | $2,398.83 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $74.13 Median $74.13 Typical High $158.49 | Professional | RR · Rental | $74.13 | $74.13 | $158.49 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $549.54 Median $549.54 Typical High $1,000.00 | Professional | UE · Used equipment | $549.54 | $549.54 | $1,000.00 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None (both parts) | $1,148.15 | $1,148.15 | $1,148.15 |
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 $1,412.54 Median $2,290.87 Typical High $5,011.87 | Facility | None | $1,412.54 | $2,290.87 | $5,011.87 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,479.11 Typical High $2,454.71 | Professional | None (both parts) | $912.01 | $1,479.11 | $2,454.71 |
Excellus BCBS Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,000.00 Typical High $1,148.15 | Professional | None (both parts) | $831.76 | $1,000.00 | $1,148.15 |
MVP Health Care Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $851.14 Median $851.14 Typical High $2,041.74 | Professional | None (both parts) | $851.14 | $851.14 | $2,041.74 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $2,238.72 | Facility | None | $1,698.24 | $1,698.24 | $2,238.72 |
United Setting Professional Modifier None (both parts) Typical Low $457.09 Median $724.44 Typical High $1,000.00 | Professional | None (both parts) | $457.09 | $724.44 | $1,000.00 |
Univera Setting Facility Modifier None Typical Low $794.33 Median $1,000.00 Typical High $1,000.00 | Facility | None | $794.33 | $1,000.00 | $1,000.00 |
Univera Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,000.00 Typical High $1,148.15 | Professional | None (both parts) | $831.76 | $1,000.00 | $1,148.15 |
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 $10.23 Median $10.47 Typical High $11.48 | Professional | 26 · Professional part | $10.23 | $10.47 | $11.48 |
Where New York sits
The same service costs 2.2 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· 27th of 51
$851
HI $1,479DE $661
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.