How much rates vary
Facilitymedian $724 · 10th to 90th $562 to $1,122Professionalmedian $575 · 10th to 90th $537 to $1,122
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 $537.03 Median $724.44 Typical High $912.01 | Facility | None | $537.03 | $724.44 | $912.01 |
Aetna Setting Professional Modifier None (both parts) Typical Low $549.54 Median $724.44 Typical High $912.01 | Professional | None (both parts) | $549.54 | $724.44 | $912.01 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $346.74 Median $549.54 Typical High $691.83 | Professional | UE · Used equipment | $346.74 | $549.54 | $691.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $562.34 Median $575.44 Typical High $831.76 | Professional | None (both parts) | $562.34 | $575.44 | $831.76 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $57.54 Median $57.54 Typical High $204.17 | Professional | RR · Rental | $57.54 | $57.54 | $204.17 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $416.87 Median $416.87 Typical High $436.52 | Professional | UE · Used equipment | $416.87 | $416.87 | $436.52 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $1,318.26 | Professional | None (both parts) | $102.33 | $102.33 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $562.34 Typical High $1,230.27 | Facility | None | $275.42 | $562.34 | $1,230.27 |
Cigna Setting Facility Modifier RR · Rental Typical Low $25.70 Median $56.23 Typical High $117.49 | Facility | RR · Rental | $25.70 | $56.23 | $117.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $562.34 Typical High $691.83 | Professional | None (both parts) | $478.63 | $562.34 | $691.83 |
Cigna Setting Professional Modifier RR · Rental Typical Low $47.86 Median $47.86 Typical High $69.18 | Professional | RR · Rental | $47.86 | $47.86 | $69.18 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | UE · Used equipment | $363.08 | $363.08 | $363.08 |
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 $575.44 Median $724.44 Typical High $1,096.48 | Professional | None (both parts) | $575.44 | $724.44 | $1,096.48 |
Excellus BCBS Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Excellus BCBS Setting Facility Modifier RR · Rental Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | RR · Rental | $72.44 | $72.44 | $72.44 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $724.44 Median $1,122.02 Typical High $1,174.90 | Professional | None (both parts) | $724.44 | $1,122.02 | $1,174.90 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $72.44 Median $109.65 Typical High $117.49 | Professional | RR · Rental | $72.44 | $109.65 | $117.49 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $602.56 Median $645.65 Typical High $831.76 | Professional | UE · Used equipment | $602.56 | $645.65 | $831.76 |
Highmark BCBS Setting Professional Modifier RR · Rental Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | RR · Rental | $60.26 | $60.26 | $60.26 |
MVP Health Care Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $1,548.82 | Facility | None | $154.88 | $154.88 | $1,548.82 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $125.89 | $125.89 | $125.89 |
United Setting Professional Modifier None (both parts) Typical Low $436.52 Median $616.60 Typical High $1,023.29 | Professional | None (both parts) | $436.52 | $616.60 | $1,023.29 |
United Setting Professional Modifier RR · Rental Typical Low $44.67 Median $67.61 Typical High $100.00 | Professional | RR · Rental | $44.67 | $67.61 | $100.00 |
United Setting Professional Modifier UE · Used equipment Typical Low $323.59 Median $457.09 Typical High $758.58 | Professional | UE · Used equipment | $323.59 | $457.09 | $758.58 |
Univera Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $1,122.02 | Facility | None | $724.44 | $724.44 | $1,122.02 |
Univera Setting Facility Modifier RR · Rental Typical Low $72.44 Median $72.44 Typical High $112.20 | Facility | RR · Rental | $72.44 | $72.44 | $112.20 |
Univera Setting Professional Modifier None (both parts) Typical Low $724.44 Median $1,096.48 Typical High $1,174.90 | Professional | None (both parts) | $724.44 | $1,096.48 | $1,174.90 |
Univera Setting Professional Modifier RR · Rental Typical Low $72.44 Median $79.43 Typical High $117.49 | Professional | RR · Rental | $72.44 | $79.43 | $117.49 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $602.56 Median $645.65 Typical High $831.76 | Professional | UE · Used equipment | $602.56 | $645.65 | $831.76 |
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 $63.10 Median $181.97 Typical High $251.19 | Professional | 26 · Professional part | $63.10 | $181.97 | $251.19 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | KH · Purchase or 1st rental month | $79.43 | $79.43 | $79.43 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | RB · Replacement part | $1,023.29 | $1,023.29 | $1,023.29 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | KH · Purchase or 1st rental month | $79.43 | $79.43 | $79.43 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | RB · Replacement part | $1,023.29 | $1,023.29 | $1,023.29 |
Where New York sits
The same service costs 12.9 times more in South Carolina 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· 23rd of 51
$575
SC $1,000IL $77.62
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.