How much rates vary
Facilitymedian $355 · 10th to 90th $275 to $891Professionalmedian $309 · 10th to 90th $214 to $708
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 $165.96 Median $229.09 Typical High $309.03 | Facility | None | $165.96 | $229.09 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $309.03 | Professional | None (both parts) | $213.80 | $213.80 | $309.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $1,000.00 | Facility | None | $501.19 | $501.19 | $1,000.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $870.96 | Professional | None (both parts) | $288.40 | $288.40 | $870.96 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $28.84 Median $28.84 Typical High $63.10 | Professional | RR · Rental | $28.84 | $28.84 | $63.10 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $218.78 Median $218.78 Typical High $389.05 | Professional | UE · Used equipment | $218.78 | $218.78 | $389.05 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None (both parts) | $407.38 | $407.38 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $309.03 | Facility | None | $275.42 | $275.42 | $309.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $204.17 | $204.17 | $204.17 |
Emblem Health Setting Facility Modifier None Typical Low $501.19 Median $812.83 Typical High $1,778.28 | Facility | None | $501.19 | $812.83 | $1,778.28 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $323.59 Median $501.19 Typical High $870.96 | Professional | None (both parts) | $323.59 | $501.19 | $870.96 |
Excellus BCBS Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $354.81 Median $407.38 Typical High $562.34 | Professional | None (both parts) | $354.81 | $407.38 | $562.34 |
MVP Health Care Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $724.44 | Professional | None (both parts) | $302.00 | $302.00 | $724.44 |
United Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $794.33 | Facility | None | $602.56 | $602.56 | $794.33 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $257.04 Typical High $363.08 | Professional | None (both parts) | $162.18 | $257.04 | $363.08 |
Univera Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $524.81 | Facility | None | $354.81 | $354.81 | $524.81 |
Univera Setting Professional Modifier None (both parts) Typical Low $354.81 Median $407.38 Typical High $562.34 | Professional | None (both parts) | $354.81 | $407.38 | $562.34 |
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 $20.89 Median $32.36 Typical High $42.66 | Professional | 26 · Professional part | $20.89 | $32.36 | $42.66 |
Where New York sits
The same service costs 2.5 times more in Montana 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
$324
MT $513DE $204
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.