How much rates vary
Facilitymedian $36 · 10th to 90th $32 to $93Professionalmedian $34 · 10th to 90th $27 to $81
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 $18.62 Median $25.70 Typical High $34.67 | Facility | None | $18.62 | $25.70 | $34.67 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $23.44 Typical High $34.67 | Professional | None (both parts) | $23.44 | $23.44 | $34.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $54.95 Median $56.23 Typical High $112.20 | Facility | None | $54.95 | $56.23 | $112.20 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $33.88 Median $33.88 Typical High $97.72 | Professional | None (both parts) | $33.88 | $33.88 | $97.72 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.24 Median $3.24 Typical High $7.08 | Professional | RR · Rental | $3.24 | $3.24 | $7.08 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $24.55 Median $24.55 Typical High $46.77 | Professional | UE · Used equipment | $24.55 | $24.55 | $46.77 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None (both parts) | $45.71 | $45.71 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $40.74 | Facility | None | $36.31 | $36.31 | $40.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $26.92 Typical High $36.31 | Professional | None (both parts) | $26.92 | $26.92 | $36.31 |
Emblem Health Setting Facility Modifier None Typical Low $54.95 Median $91.20 Typical High $199.53 | Facility | None | $54.95 | $91.20 | $199.53 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $36.31 Median $58.88 Typical High $97.72 | Professional | None (both parts) | $36.31 | $58.88 | $97.72 |
Excellus BCBS Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $31.62 Median $32.36 Typical High $45.71 | Professional | None (both parts) | $31.62 | $32.36 | $45.71 |
Highmark BCBS Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $57.54 | Facility | None | $54.95 | $54.95 | $57.54 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None (both parts) | $43.65 | $43.65 | $43.65 |
MVP Health Care Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $38.02 Median $38.02 Typical High $81.28 | Professional | None (both parts) | $38.02 | $38.02 | $81.28 |
United Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $95.50 | Facility | None | $74.13 | $74.13 | $95.50 |
United Setting Professional Modifier None (both parts) Typical Low $18.20 Median $28.84 Typical High $41.69 | Professional | None (both parts) | $18.20 | $28.84 | $41.69 |
Univera Setting Facility Modifier None Typical Low $31.62 Median $32.36 Typical High $33.88 | Facility | None | $31.62 | $32.36 | $33.88 |
Univera Setting Professional Modifier None (both parts) Typical Low $31.62 Median $32.36 Typical High $45.71 | Professional | None (both parts) | $31.62 | $32.36 | $45.71 |
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 $2.29 Median $3.55 Typical High $4.68 | Professional | 26 · Professional part | $2.29 | $3.55 | $4.68 |
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· 34th of 51
$33.88
HI $75.86DE $26.92
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.