How much rates vary
Facilitymedian $178 · 10th to 90th $135 to $468Professionalmedian $155 · 10th to 90th $117 to $398
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 $91.20 Median $141.25 Typical High $309.03 | Facility | None | $91.20 | $141.25 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $457.09 | Professional | None (both parts) | $117.49 | $117.49 | $457.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $549.54 | Facility | None | $275.42 | $275.42 | $549.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $478.63 | Professional | None (both parts) | $151.36 | $151.36 | $478.63 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $14.79 Median $14.79 Typical High $32.36 | Professional | RR · Rental | $14.79 | $14.79 | $32.36 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $112.20 Median $112.20 Typical High $199.53 | Professional | UE · Used equipment | $112.20 | $112.20 | $199.53 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $223.87 | $223.87 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $151.36 | Facility | None | $134.90 | $134.90 | $151.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $134.90 | Professional | None (both parts) | $97.72 | $97.72 | $134.90 |
Emblem Health Setting Facility Modifier None Typical Low $275.42 Median $446.68 Typical High $977.24 | Facility | None | $275.42 | $446.68 | $977.24 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $177.83 Median $257.04 Typical High $478.63 | Professional | None (both parts) | $177.83 | $257.04 | $478.63 |
Excellus BCBS Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $162.18 Median $177.83 Typical High $223.87 | Professional | None (both parts) | $162.18 | $177.83 | $223.87 |
Fidelis Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $120.23 | $120.23 | $120.23 |
Highmark BCBS Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $218.78 | $218.78 | $218.78 |
MVP Health Care Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $398.11 | Professional | None (both parts) | $125.89 | $125.89 | $398.11 |
United Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $436.52 | Facility | None | $331.13 | $331.13 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $89.13 Median $141.25 Typical High $194.98 | Professional | None (both parts) | $89.13 | $141.25 | $194.98 |
Univera Setting Facility Modifier None Typical Low $162.18 Median $177.83 Typical High $177.83 | Facility | None | $162.18 | $177.83 | $177.83 |
Univera Setting Professional Modifier None (both parts) Typical Low $162.18 Median $177.83 Typical High $223.87 | Professional | None (both parts) | $162.18 | $177.83 | $223.87 |
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 $12.30 Median $18.20 Typical High $23.44 | Professional | 26 · Professional part | $12.30 | $18.20 | $23.44 |
Where New York sits
The same service costs 2.3 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
$162
KS $282DE $120
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.