How much rates vary
Facilitymedian $1,288 · 10th to 90th $1,072 to $3,090Professionalmedian $1,096 · 10th to 90th $813 to $2,630
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 $616.60 Median $776.25 Typical High $1,122.02 | Facility | None | $616.60 | $776.25 | $1,122.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $776.25 Median $776.25 Typical High $1,122.02 | Professional | None (both parts) | $776.25 | $776.25 | $1,122.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $1,862.09 Typical High $3,630.78 | Facility | None | $1,819.70 | $1,862.09 | $3,630.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,000.00 Typical High $3,162.28 | Professional | None (both parts) | $1,000.00 | $1,000.00 | $3,162.28 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $100.00 Median $100.00 Typical High $213.80 | Professional | RR · Rental | $100.00 | $100.00 | $213.80 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $758.58 Median $758.58 Typical High $1,348.96 | Professional | UE · Used equipment | $758.58 | $758.58 | $1,348.96 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None (both parts) | $1,513.56 | $1,513.56 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,288.25 | Facility | None | $1,202.26 | $1,202.26 | $1,288.25 |
Cigna 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 |
Emblem Health Setting Facility Modifier None Typical Low $1,819.70 Median $3,019.95 Typical High $6,606.93 | Facility | None | $1,819.70 | $3,019.95 | $6,606.93 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,905.46 Typical High $3,235.94 | Professional | None (both parts) | $1,202.26 | $1,905.46 | $3,235.94 |
Excellus BCBS Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,288.25 Typical High $1,513.56 | Professional | None (both parts) | $1,071.52 | $1,288.25 | $1,513.56 |
MVP Health Care Setting Facility Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Facility | None | $2,818.38 | $2,818.38 | $2,818.38 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,122.02 Typical High $2,691.53 | Professional | None (both parts) | $1,122.02 | $1,122.02 | $2,691.53 |
United Setting Facility Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,884.03 | Facility | None | $2,238.72 | $2,238.72 | $2,884.03 |
United Setting Professional Modifier None (both parts) Typical Low $602.56 Median $954.99 Typical High $1,288.25 | Professional | None (both parts) | $602.56 | $954.99 | $1,288.25 |
Univera Setting Facility Modifier None Typical Low $1,023.29 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,023.29 | $1,288.25 | $1,288.25 |
Univera Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,288.25 Typical High $1,513.56 | Professional | None (both parts) | $1,071.52 | $1,288.25 | $1,513.56 |
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 $37.15 Median $57.54 Typical High $75.86 | Professional | 26 · Professional part | $37.15 | $57.54 | $75.86 |
Where New York sits
The same service costs 2.2 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· 27th of 51
$1,122
MT $1,950DE $871
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.