How much rates vary
Facilitymedian $7 · 10th to 90th $3 to $22Professionalmedian $7 · 10th to 90th $3 to $17
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 $5.37 Median $6.92 Typical High $11.48 | Facility | None | $5.37 | $6.92 | $11.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $6.92 Median $6.92 Typical High $11.48 | Professional | None (both parts) | $6.92 | $6.92 | $11.48 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $5.25 Median $5.25 Typical High $8.51 | Professional | UE · Used equipment | $5.25 | $5.25 | $8.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $23.99 | Facility | None | $12.02 | $12.02 | $23.99 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $7.24 Median $7.24 Typical High $21.88 | Professional | None (both parts) | $7.24 | $7.24 | $21.88 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.72 Median $0.72 Typical High $2.29 | Professional | RR · Rental | $0.72 | $0.72 | $2.29 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $5.50 Median $5.50 Typical High $7.94 | Professional | UE · Used equipment | $5.50 | $5.50 | $7.94 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $1.02 Median $7.41 Typical High $10.00 | Professional | None (both parts) | $1.02 | $7.41 | $10.00 |
Cigna Setting Facility Modifier None Typical Low $2.88 Median $13.49 Typical High $19.50 | Facility | None | $2.88 | $13.49 | $19.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | None (both parts) | $7.08 | $7.08 | $7.08 |
Cigna Setting Professional Modifier RR · Rental Typical Low $0.60 Median $0.60 Typical High $0.60 | Professional | RR · Rental | $0.60 | $0.60 | $0.60 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | UE · Used equipment | $5.37 | $5.37 | $5.37 |
Emblem Health Setting Facility Modifier None Typical Low $12.02 Median $19.95 Typical High $40.74 | Facility | None | $12.02 | $19.95 | $40.74 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $1.26 Median $2.04 Typical High $4.17 | Facility | RR · Rental | $1.26 | $2.04 | $4.17 |
Emblem Health Setting Facility Modifier UE · Used equipment Typical Low $9.12 Median $14.79 Typical High $30.20 | Facility | UE · Used equipment | $9.12 | $14.79 | $30.20 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $10.96 Median $13.18 Typical High $22.91 | Professional | None (both parts) | $10.96 | $13.18 | $22.91 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $1.26 Median $1.51 Typical High $2.34 | Professional | RR · Rental | $1.26 | $1.51 | $2.34 |
Emblem Health Setting Professional Modifier UE · Used equipment Typical Low $9.12 Median $10.96 Typical High $16.98 | Professional | UE · Used equipment | $9.12 | $10.96 | $16.98 |
Excellus BCBS Setting Facility Modifier None Typical Low $2.82 Median $2.82 Typical High $2.82 | Facility | None | $2.82 | $2.82 | $2.82 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $2.82 Median $6.92 Typical High $10.00 | Professional | None (both parts) | $2.82 | $6.92 | $10.00 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $0.28 Median $0.71 Typical High $1.02 | Professional | RR · Rental | $0.28 | $0.71 | $1.02 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $5.13 Median $5.50 Typical High $7.41 | Professional | UE · Used equipment | $5.13 | $5.50 | $7.41 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $4.90 Median $9.55 Typical High $9.55 | Professional | None (both parts) | $4.90 | $9.55 | $9.55 |
MVP Health Care Setting Facility Modifier None Typical Low $6.17 Median $6.17 Typical High $6.17 | Facility | None | $6.17 | $6.17 | $6.17 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $0.79 Median $7.41 Typical High $7.41 | Professional | None (both parts) | $0.79 | $7.41 | $7.41 |
MVP Health Care Setting Professional Modifier RR · Rental Typical Low $0.76 Median $0.76 Typical High $1.82 | Professional | RR · Rental | $0.76 | $0.76 | $1.82 |
MVP Health Care Setting Professional Modifier UE · Used equipment Typical Low $5.50 Median $5.50 Typical High $13.18 | Professional | UE · Used equipment | $5.50 | $5.50 | $13.18 |
United Setting Professional Modifier None (both parts) Typical Low $3.98 Median $7.24 Typical High $8.51 | Professional | None (both parts) | $3.98 | $7.24 | $8.51 |
United Setting Professional Modifier RR · Rental Typical Low $0.41 Median $0.76 Typical High $0.89 | Professional | RR · Rental | $0.41 | $0.76 | $0.89 |
United Setting Professional Modifier UE · Used equipment Typical Low $2.95 Median $5.37 Typical High $6.46 | Professional | UE · Used equipment | $2.95 | $5.37 | $6.46 |
Univera Setting Facility Modifier None Typical Low $2.82 Median $2.82 Typical High $6.92 | Facility | None | $2.82 | $2.82 | $6.92 |
Univera Setting Facility Modifier RR · Rental Typical Low $0.71 Median $0.71 Typical High $0.81 | Facility | RR · Rental | $0.71 | $0.71 | $0.81 |
Univera Setting Facility Modifier UE · Used equipment Typical Low $5.13 Median $5.13 Typical High $6.03 | Facility | UE · Used equipment | $5.13 | $5.13 | $6.03 |
Univera Setting Professional Modifier None (both parts) Typical Low $2.82 Median $6.92 Typical High $10.00 | Professional | None (both parts) | $2.82 | $6.92 | $10.00 |
Univera Setting Professional Modifier RR · Rental Typical Low $0.28 Median $0.71 Typical High $1.02 | Professional | RR · Rental | $0.28 | $0.71 | $1.02 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $2.82 Median $5.50 Typical High $7.41 | Professional | UE · Used equipment | $2.82 | $5.50 | $7.41 |
3 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 $0.63 Median $1.51 Typical High $2.04 | Professional | 26 · Professional part | $0.63 | $1.51 | $2.04 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $1.02 Median $1.02 Typical High $1.02 | Professional | KH · Purchase or 1st rental month | $1.02 | $1.02 | $1.02 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $1.02 Median $1.02 Typical High $1.02 | Professional | KH · Purchase or 1st rental month | $1.02 | $1.02 | $1.02 |
Where New York sits
The same service costs 11.2 times more in Minnesota than in Illinois. 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
$7.24
MN $15.14IL $1.35
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.