How much rates vary
Facilitymedian $457 · 10th to 90th $257 to $676Professionalmedian $457 · 10th to 90th $302 to $724
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 $323.59 Median $512.86 Typical High $741.31 | Facility | None | $323.59 | $512.86 | $741.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $512.86 Typical High $741.31 | Professional | None (both parts) | $512.86 | $512.86 | $741.31 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $389.05 Median $389.05 Typical High $549.54 | Professional | UE · Used equipment | $389.05 | $389.05 | $549.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $870.96 | Professional | None (both parts) | $446.68 | $446.68 | $870.96 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $45.71 Median $45.71 Typical High $154.88 | Professional | RR · Rental | $45.71 | $45.71 | $154.88 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $331.13 Median $331.13 Typical High $389.05 | Professional | UE · Used equipment | $331.13 | $331.13 | $389.05 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $954.99 | Professional | None (both parts) | $74.13 | $74.13 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $257.04 Typical High $758.58 | Facility | None | $165.96 | $257.04 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $275.42 | Professional | None (both parts) | $218.78 | $218.78 | $275.42 |
Cigna Setting Professional Modifier RR · Rental Typical Low $58.88 Median $58.88 Typical High $363.08 | Professional | RR · Rental | $58.88 | $58.88 | $363.08 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | UE · Used equipment | $162.18 | $162.18 | $162.18 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $72.44 Median $117.49 Typical High $257.04 | Facility | RR · Rental | $72.44 | $117.49 | $257.04 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $363.08 Median $457.09 Typical High $616.60 | Professional | None (both parts) | $363.08 | $457.09 | $616.60 |
Excellus BCBS Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Excellus BCBS Setting Facility Modifier RR · Rental Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | RR · Rental | $45.71 | $45.71 | $45.71 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $457.09 Median $676.08 Typical High $724.44 | Professional | None (both parts) | $457.09 | $676.08 | $724.44 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $45.71 Median $66.07 Typical High $72.44 | Professional | RR · Rental | $45.71 | $66.07 | $72.44 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $371.54 Median $389.05 Typical High $512.86 | Professional | UE · Used equipment | $371.54 | $389.05 | $512.86 |
MVP Health Care Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $977.24 | Facility | None | $97.72 | $97.72 | $977.24 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None (both parts) | $77.62 | $77.62 | $77.62 |
United Setting Professional Modifier None (both parts) Typical Low $281.84 Median $380.19 Typical High $630.96 | Professional | None (both parts) | $281.84 | $380.19 | $630.96 |
United Setting Professional Modifier RR · Rental Typical Low $32.36 Median $52.48 Typical High $70.79 | Professional | RR · Rental | $32.36 | $52.48 | $70.79 |
United Setting Professional Modifier UE · Used equipment Typical Low $208.93 Median $281.84 Typical High $467.74 | Professional | UE · Used equipment | $208.93 | $281.84 | $467.74 |
Univera Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $676.08 | Facility | None | $457.09 | $457.09 | $676.08 |
Univera Setting Facility Modifier RR · Rental Typical Low $45.71 Median $45.71 Typical High $67.61 | Facility | RR · Rental | $45.71 | $45.71 | $67.61 |
Univera Setting Professional Modifier None (both parts) Typical Low $457.09 Median $660.69 Typical High $724.44 | Professional | None (both parts) | $457.09 | $660.69 | $724.44 |
Univera Setting Professional Modifier RR · Rental Typical Low $45.71 Median $64.57 Typical High $72.44 | Professional | RR · Rental | $45.71 | $64.57 | $72.44 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $371.54 Median $389.05 Typical High $512.86 | Professional | UE · Used equipment | $371.54 | $389.05 | $512.86 |
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 $45.71 Median $112.20 Typical High $151.36 | Professional | 26 · Professional part | $45.71 | $112.20 | $151.36 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | KH · Purchase or 1st rental month | $64.57 | $64.57 | $64.57 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | RB · Replacement part | $831.76 | $831.76 | $831.76 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | KH · Purchase or 1st rental month | $64.57 | $64.57 | $64.57 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | RB · Replacement part | $831.76 | $831.76 | $831.76 |
Where New York sits
The same service costs 14.8 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· 18th of 51
$457
MN $832IL $56.23
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.