How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $467.74 Median $691.83 Typical High $851.14 | Facility | None | $467.74 | $691.83 | $851.14 |
Aetna Setting Professional Modifier None (both parts) Typical Low $691.83 Median $691.83 Typical High $851.14 | Professional | None (both parts) | $691.83 | $691.83 | $851.14 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $512.86 Median $512.86 Typical High $645.65 | Professional | UE · Used equipment | $512.86 | $512.86 | $645.65 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $1,122.02 | Professional | None (both parts) | $562.34 | $562.34 | $1,122.02 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $56.23 Median $56.23 Typical High $190.55 | Professional | RR · Rental | $56.23 | $56.23 | $190.55 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | UE · Used equipment | $416.87 | $416.87 | $416.87 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $1,202.26 | Professional | None (both parts) | $93.33 | $93.33 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $831.76 Typical High $1,174.90 | Facility | None | $177.83 | $831.76 | $1,174.90 |
Cigna Setting Facility Modifier RR · Rental Typical Low $22.39 Median $53.70 Typical High $102.33 | Facility | RR · Rental | $22.39 | $53.70 | $102.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $602.56 Median $602.56 Typical High $3,388.44 | Professional | None (both parts) | $602.56 | $602.56 | $3,388.44 |
Cigna Setting Professional Modifier RR · Rental Typical Low $45.71 Median $45.71 Typical High $53.70 | Professional | RR · Rental | $45.71 | $45.71 | $53.70 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | UE · Used equipment | $446.68 | $446.68 | $446.68 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $74.13 Median $123.03 Typical High $269.15 | Facility | RR · Rental | $74.13 | $123.03 | $269.15 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None (both parts) | $1,548.82 | $1,548.82 | $1,548.82 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $933.25 Median $954.99 Typical High $1,023.29 | Professional | None (both parts) | $933.25 | $954.99 | $1,023.29 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $74.13 Median $95.50 Typical High $102.33 | Professional | RR · Rental | $74.13 | $95.50 | $102.33 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $524.81 Median $549.54 Typical High $724.44 | Professional | UE · Used equipment | $524.81 | $549.54 | $724.44 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $109.65 | $109.65 | $109.65 |
United Setting Professional Modifier None (both parts) Typical Low $398.11 Median $537.03 Typical High $870.96 | Professional | None (both parts) | $398.11 | $537.03 | $870.96 |
United Setting Professional Modifier RR · Rental Typical Low $40.74 Median $63.10 Typical High $91.20 | Professional | RR · Rental | $40.74 | $63.10 | $91.20 |
United Setting Professional Modifier UE · Used equipment Typical Low $295.12 Median $398.11 Typical High $645.65 | Professional | UE · Used equipment | $295.12 | $398.11 | $645.65 |
Univera Setting Facility Modifier None Typical Low $660.69 Median $954.99 Typical High $954.99 | Facility | None | $660.69 | $954.99 | $954.99 |
Univera Setting Professional Modifier None (both parts) Typical Low $562.34 Median $954.99 Typical High $1,023.29 | Professional | None (both parts) | $562.34 | $954.99 | $1,023.29 |
Univera Setting Professional Modifier RR · Rental Typical Low $74.13 Median $95.50 Typical High $102.33 | Professional | RR · Rental | $74.13 | $95.50 | $102.33 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $302.00 Median $549.54 Typical High $724.44 | Professional | UE · Used equipment | $302.00 | $549.54 | $724.44 |
5 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 $64.57 Median $158.49 Typical High $213.80 | Professional | 26 · Professional part | $64.57 | $158.49 | $213.80 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | KH · Purchase or 1st rental month | $74.13 | $74.13 | $74.13 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | RB · Replacement part | $954.99 | $954.99 | $954.99 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | KH · Purchase or 1st rental month | $74.13 | $74.13 | $74.13 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | RB · Replacement part | $954.99 | $954.99 | $954.99 |
Where New York sits
The same service costs 16.6 times more in Kansas 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· 36th of 51
$562
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.