How much rates vary
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 $2,570.40 Median $3,090.30 Typical High $4,466.84 | Facility | None | $2,570.40 | $3,090.30 | $4,466.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $3,090.30 Median $3,090.30 Typical High $4,466.84 | Professional | None (both parts) | $3,090.30 | $3,090.30 | $4,466.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $2,290.87 Median $2,691.53 Typical High $8,511.38 | Professional | None (both parts) | $2,290.87 | $2,691.53 | $8,511.38 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $190.55 Median $223.87 Typical High $257.04 | Professional | RR · Rental | $190.55 | $223.87 | $257.04 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $5,888.44 Median $5,888.44 Typical High $5,888.44 | Professional | None (both parts) | $5,888.44 | $5,888.44 | $5,888.44 |
Cigna Setting Facility Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,365.16 | Facility | None | $4,073.80 | $4,073.80 | $4,365.16 |
Cigna Setting Professional Modifier None (both parts) Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | None (both parts) | $3,467.37 | $3,467.37 | $3,467.37 |
Emblem Health Setting Facility Modifier None Typical Low $7,244.36 Median $11,748.98 Typical High $25,703.96 | Facility | None | $7,244.36 | $11,748.98 | $25,703.96 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $4,677.35 Median $7,585.78 Typical High $12,589.25 | Professional | None (both parts) | $4,677.35 | $7,585.78 | $12,589.25 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $3,981.07 Median $4,466.84 Typical High $5,888.44 | Professional | None (both parts) | $3,981.07 | $4,466.84 | $5,888.44 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $4,365.16 Median $4,365.16 Typical High $10,471.29 | Professional | None (both parts) | $4,365.16 | $4,365.16 | $10,471.29 |
United Setting Professional Modifier None (both parts) Typical Low $2,344.23 Median $4,265.80 Typical High $5,011.87 | Professional | None (both parts) | $2,344.23 | $4,265.80 | $5,011.87 |
Univera Setting Facility Modifier None Typical Low $3,715.35 Median $4,265.80 Typical High $4,265.80 | Facility | None | $3,715.35 | $4,265.80 | $4,265.80 |
Univera Setting Professional Modifier None (both parts) Typical Low $2,398.83 Median $4,466.84 Typical High $5,888.44 | Professional | None (both parts) | $2,398.83 | $4,466.84 | $5,888.44 |
2 more rates 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 $288.40 Median $407.38 Typical High $537.03 | Professional | 26 · Professional part | $288.40 | $407.38 | $537.03 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,951.21 Median $2,951.21 Typical High $3,890.45 | Professional | UE · Used equipment | $2,951.21 | $2,951.21 | $3,890.45 |
Where New York sits
The same service costs 2.7 times more in Montana than in New York. 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· 51st of 51
$2,884
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.