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 $302.00 Median $354.81 Typical High $512.86 | Facility | None | $302.00 | $354.81 | $512.86 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $512.86 | Professional | None | $354.81 | $354.81 | $512.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $831.76 Median $851.14 Typical High $1,659.59 | Facility | None | $831.76 | $851.14 | $1,659.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $269.15 Median $316.23 Typical High $977.24 | Professional | None | $269.15 | $316.23 | $977.24 |
CDPHP Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $549.54 | Facility | None | $512.86 | $512.86 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | None | $436.52 | $436.52 | $436.52 |
Emblem Health Setting Facility Modifier None Typical Low $831.76 Median $1,380.38 Typical High $3,019.95 | Facility | None | $831.76 | $1,380.38 | $3,019.95 |
Emblem Health Setting Professional Modifier None Typical Low $537.03 Median $870.96 Typical High $1,479.11 | Professional | None | $537.03 | $870.96 | $1,479.11 |
Excellus BCBS Setting Professional Modifier None Typical Low $467.74 Median $524.81 Typical High $676.08 | Professional | None | $467.74 | $524.81 | $676.08 |
MVP Health Care Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $1,230.27 | Professional | None | $501.19 | $501.19 | $1,230.27 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,445.44 | Facility | None | $1,122.02 | $1,122.02 | $1,445.44 |
United Setting Professional Modifier None Typical Low $269.15 Median $501.19 Typical High $630.96 | Professional | None | $269.15 | $501.19 | $630.96 |
Univera Setting Facility Modifier None Typical Low $436.52 Median $489.78 Typical High $489.78 | Facility | None | $436.52 | $489.78 | $489.78 |
Univera Setting Professional Modifier None Typical Low $281.84 Median $524.81 Typical High $676.08 | Professional | None | $281.84 | $524.81 | $676.08 |
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 RR · Rental Typical Low $48.98 Median $48.98 Typical High $66.07 | Professional | RR · Rental | $48.98 | $48.98 | $66.07 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $371.54 Median $371.54 Typical High $489.78 | Professional | UE · Used equipment | $371.54 | $371.54 | $489.78 |
Where New York sits
The same service costs 3.0 times more in Wisconsin 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
$347
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.