How much rates vary
Facilitymedian $0 · 10th to 90th $0 to $1Professionalmedian $0 · 10th to 90th $0 to $0
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 $0.09 Median $0.23 Typical High $0.36 | Facility | None | $0.09 | $0.23 | $0.36 |
Aetna Setting Professional Modifier None Typical Low $0.21 Median $0.23 Typical High $0.36 | Professional | None | $0.21 | $0.23 | $0.36 |
Aetna Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $0.17 Median $0.21 Typical High $0.21 | Professional | AU · Urologic/ostomy supply | $0.17 | $0.21 | $0.21 |
Aetna Setting Professional Modifier AV · With prosthetic/orthotic Typical Low $0.16 Median $0.20 Typical High $0.20 | Professional | AV · With prosthetic/orthotic | $0.16 | $0.20 | $0.20 |
Ambetter Setting Professional Modifier None Typical Low $3.98 Median $3.98 Typical High $3.98 | Professional | None | $3.98 | $3.98 | $3.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.18 Median $0.19 Typical High $0.59 | Professional | None | $0.18 | $0.19 | $0.59 |
Anthem BCBS Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $0.33 Median $0.33 Typical High $0.35 | Professional | AU · Urologic/ostomy supply | $0.33 | $0.33 | $0.35 |
Anthem BCBS Setting Professional Modifier AV · With prosthetic/orthotic Typical Low $0.31 Median $0.40 Typical High $0.40 | Professional | AV · With prosthetic/orthotic | $0.31 | $0.40 | $0.40 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.13 Median $0.18 Typical High $0.19 | Professional | UE · Used equipment | $0.13 | $0.18 | $0.19 |
Cigna Setting Facility Modifier None Typical Low $0.19 Median $0.20 Typical High $0.22 | Facility | None | $0.19 | $0.20 | $0.22 |
Cigna Setting Professional Modifier None Typical Low $0.17 Median $0.17 Typical High $0.17 | Professional | None | $0.17 | $0.17 | $0.17 |
Emblem Health Setting Facility Modifier None Typical Low $0.35 Median $0.52 Typical High $1.26 | Facility | None | $0.35 | $0.52 | $1.26 |
Emblem Health Setting Professional Modifier None Typical Low $0.18 Median $0.32 Typical High $0.62 | Professional | None | $0.18 | $0.32 | $0.62 |
Emblem Health Setting Professional Modifier AV · With prosthetic/orthotic Typical Low $0.23 Median $0.36 Typical High $0.62 | Professional | AV · With prosthetic/orthotic | $0.23 | $0.36 | $0.62 |
Excellus BCBS Setting Facility Modifier None Typical Low $0.20 Median $0.20 Typical High $0.20 | Facility | None | $0.20 | $0.20 | $0.20 |
Excellus BCBS Setting Professional Modifier None Typical Low $0.20 Median $0.25 Typical High $0.25 | Professional | None | $0.20 | $0.25 | $0.25 |
Excellus BCBS Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $0.25 Median $0.25 Typical High $0.28 | Professional | AU · Urologic/ostomy supply | $0.25 | $0.25 | $0.28 |
Excellus BCBS Setting Professional Modifier AV · With prosthetic/orthotic Typical Low $0.24 Median $0.24 Typical High $0.27 | Professional | AV · With prosthetic/orthotic | $0.24 | $0.24 | $0.27 |
Fidelis Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $0.20 Median $0.20 Typical High $0.20 | Professional | AU · Urologic/ostomy supply | $0.20 | $0.20 | $0.20 |
Highmark BCBS Setting Professional Modifier None Typical Low $0.19 Median $0.19 Typical High $0.19 | Professional | None | $0.19 | $0.19 | $0.19 |
MVP Health Care Setting Facility Modifier None Typical Low $0.45 Median $0.45 Typical High $0.45 | Facility | None | $0.45 | $0.45 | $0.45 |
MVP Health Care Setting Professional Modifier None Typical Low $0.43 Median $0.43 Typical High $0.43 | Professional | None | $0.43 | $0.43 | $0.43 |
MVP Health Care Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $0.21 Median $0.21 Typical High $0.56 | Professional | AU · Urologic/ostomy supply | $0.21 | $0.21 | $0.56 |
MVP Health Care Setting Professional Modifier AV · With prosthetic/orthotic Typical Low $0.20 Median $0.20 Typical High $0.52 | Professional | AV · With prosthetic/orthotic | $0.20 | $0.20 | $0.52 |
United Setting Professional Modifier None Typical Low $0.11 Median $0.19 Typical High $0.24 | Professional | None | $0.11 | $0.19 | $0.24 |
United Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $0.18 Median $0.18 Typical High $0.18 | Professional | AU · Urologic/ostomy supply | $0.18 | $0.18 | $0.18 |
United Setting Professional Modifier AV · With prosthetic/orthotic Typical Low $0.17 Median $0.17 Typical High $0.17 | Professional | AV · With prosthetic/orthotic | $0.17 | $0.17 | $0.17 |
Univera Setting Facility Modifier None Typical Low $0.20 Median $0.20 Typical High $0.25 | Facility | None | $0.20 | $0.20 | $0.25 |
Univera Setting Professional Modifier None Typical Low $0.20 Median $0.25 Typical High $0.25 | Professional | None | $0.20 | $0.25 | $0.25 |
Univera Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $0.20 Median $0.25 Typical High $0.28 | Professional | AU · Urologic/ostomy supply | $0.20 | $0.25 | $0.28 |
Univera Setting Professional Modifier AV · With prosthetic/orthotic Typical Low $0.20 Median $0.24 Typical High $0.27 | Professional | AV · With prosthetic/orthotic | $0.20 | $0.24 | $0.27 |
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 RR · Rental Typical Low $0.03 Median $0.05 Typical High $0.08 | Professional | RR · Rental | $0.03 | $0.05 | $0.08 |
Where New York sits
The same service costs 2.7 times more in Arkansas than in Utah. 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· 32nd of 51
$0.20
AR $0.38UT $0.14
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.