How much rates vary
Facilitymedian $1,445 · 10th to 90th $1,202 to $3,467Professionalmedian $1,230 · 10th to 90th $912 to $2,951
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 $691.83 Median $870.96 Typical High $1,258.93 | Facility | None | $691.83 | $870.96 | $1,258.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $870.96 Typical High $1,258.93 | Professional | None (both parts) | $870.96 | $870.96 | $1,258.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,041.74 Median $2,089.30 Typical High $4,073.80 | Facility | None | $2,041.74 | $2,089.30 | $4,073.80 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,122.02 Typical High $3,548.13 | Professional | None (both parts) | $1,122.02 | $1,122.02 | $3,548.13 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $112.20 Median $112.20 Typical High $239.88 | Professional | RR · Rental | $112.20 | $112.20 | $239.88 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $851.14 Median $851.14 Typical High $1,513.56 | Professional | UE · Used equipment | $851.14 | $851.14 | $1,513.56 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None (both parts) | $1,698.24 | $1,698.24 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,445.44 | Facility | None | $1,348.96 | $1,348.96 | $1,445.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None (both parts) | $977.24 | $977.24 | $977.24 |
Emblem Health Setting Facility Modifier None Typical Low $2,041.74 Median $3,388.44 Typical High $7,413.10 | Facility | None | $2,041.74 | $3,388.44 | $7,413.10 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $2,041.74 Typical High $3,630.78 | Professional | None (both parts) | $1,348.96 | $2,041.74 | $3,630.78 |
Excellus BCBS Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,445.44 Typical High $1,698.24 | Professional | None (both parts) | $1,202.26 | $1,445.44 | $1,698.24 |
MVP Health Care Setting Facility Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Facility | None | $3,162.28 | $3,162.28 | $3,162.28 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,258.93 Typical High $3,019.95 | Professional | None (both parts) | $1,258.93 | $1,258.93 | $3,019.95 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $3,235.94 | Facility | None | $2,511.89 | $2,511.89 | $3,235.94 |
United Setting Professional Modifier None (both parts) Typical Low $676.08 Median $1,071.52 Typical High $1,445.44 | Professional | None (both parts) | $676.08 | $1,071.52 | $1,445.44 |
Univera Setting Facility Modifier None Typical Low $1,148.15 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,148.15 | $1,445.44 | $1,445.44 |
Univera Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,445.44 Typical High $1,698.24 | Professional | None (both parts) | $1,202.26 | $1,445.44 | $1,698.24 |
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 $89.13 Median $138.04 Typical High $181.97 | Professional | 26 · Professional part | $89.13 | $138.04 | $181.97 |
Where New York sits
The same service costs 2.2 times more in Montana than in Vermont. 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
$1,259
MT $2,188VT $977
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.