How much rates vary
Facilitymedian $1,549 · 10th to 90th $1,288 to $3,715Professionalmedian $1,288 · 10th to 90th $977 to $3,090
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 $724.44 Median $933.25 Typical High $1,348.96 | Facility | None | $724.44 | $933.25 | $1,348.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $933.25 Median $933.25 Typical High $1,348.96 | Professional | None (both parts) | $933.25 | $933.25 | $1,348.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $4,365.16 | Facility | None | $2,187.76 | $2,187.76 | $4,365.16 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,174.90 Typical High $3,801.89 | Professional | None (both parts) | $1,174.90 | $1,174.90 | $3,801.89 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $117.49 Median $117.49 Typical High $257.04 | Professional | RR · Rental | $117.49 | $117.49 | $257.04 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $891.25 Median $891.25 Typical High $1,584.89 | Professional | UE · Used equipment | $891.25 | $891.25 | $1,584.89 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None (both parts) | $1,778.28 | $1,778.28 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,513.56 | Facility | None | $1,412.54 | $1,412.54 | $1,513.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None (both parts) | $1,023.29 | $1,023.29 | $1,023.29 |
Emblem Health Setting Facility Modifier None Typical Low $2,187.76 Median $3,548.13 Typical High $7,762.47 | Facility | None | $2,187.76 | $3,548.13 | $7,762.47 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $2,290.87 Typical High $3,801.89 | Professional | None (both parts) | $1,412.54 | $2,290.87 | $3,801.89 |
Excellus BCBS Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,548.82 Typical High $1,778.28 | Professional | None (both parts) | $1,288.25 | $1,548.82 | $1,778.28 |
MVP Health Care Setting Facility Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Facility | None | $3,311.31 | $3,311.31 | $3,311.31 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,318.26 Typical High $3,162.28 | Professional | None (both parts) | $1,318.26 | $1,318.26 | $3,162.28 |
United Setting Facility Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $3,467.37 | Facility | None | $2,630.27 | $2,630.27 | $3,467.37 |
United Setting Professional Modifier None (both parts) Typical Low $707.95 Median $1,122.02 Typical High $1,548.82 | Professional | None (both parts) | $707.95 | $1,122.02 | $1,548.82 |
Univera Setting Facility Modifier None Typical Low $1,202.26 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,202.26 | $1,548.82 | $1,548.82 |
Univera Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,548.82 Typical High $1,778.28 | Professional | None (both parts) | $1,288.25 | $1,548.82 | $1,778.28 |
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 Arizona. 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
$1,318
MT $2,291AZ $1,023
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.