How much rates vary
Facilitymedian $1,000 · 10th to 90th $871 to $1,445Professionalmedian $1,072 · 10th to 90th $871 to $1,549
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 $812.83 Median $1,071.52 Typical High $1,621.81 | Facility | None | $812.83 | $1,071.52 | $1,621.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,071.52 Typical High $1,621.81 | Professional | None (both parts) | $1,071.52 | $1,071.52 | $1,621.81 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $794.33 Median $794.33 Typical High $1,230.27 | Professional | UE · Used equipment | $794.33 | $794.33 | $1,230.27 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,096.48 Typical High $1,513.56 | Professional | None (both parts) | $1,047.13 | $1,096.48 | $1,513.56 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $104.71 Median $104.71 Typical High $346.74 | Professional | RR · Rental | $104.71 | $104.71 | $346.74 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $794.33 Median $794.33 Typical High $831.76 | Professional | UE · Used equipment | $794.33 | $794.33 | $831.76 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $1,995.26 | Professional | None (both parts) | $151.36 | $151.36 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $1,000.00 Typical High $1,949.84 | Facility | None | $436.52 | $1,000.00 | $1,949.84 |
Cigna Setting Facility Modifier RR · Rental Typical Low $44.67 Median $100.00 Typical High $199.53 | Facility | RR · Rental | $44.67 | $100.00 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $831.76 Median $831.76 Typical High $1,071.52 | Professional | None (both parts) | $831.76 | $831.76 | $1,071.52 |
Cigna Setting Professional Modifier RR · Rental Typical Low $83.18 Median $83.18 Typical High $138.04 | Professional | RR · Rental | $83.18 | $83.18 | $138.04 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | UE · Used equipment | $630.96 | $630.96 | $630.96 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $158.49 Median $263.03 Typical High $575.44 | Facility | RR · Rental | $158.49 | $263.03 | $575.44 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $691.83 Median $870.96 Typical High $1,995.26 | Professional | None (both parts) | $691.83 | $870.96 | $1,995.26 |
Excellus BCBS Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
Excellus BCBS Setting Facility Modifier RR · Rental Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | RR · Rental | $87.10 | $87.10 | $87.10 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,445.44 Typical High $1,548.82 | Professional | None (both parts) | $870.96 | $1,445.44 | $1,548.82 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $87.10 Median $141.25 Typical High $154.88 | Professional | RR · Rental | $87.10 | $141.25 | $154.88 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $794.33 Median $831.76 Typical High $1,096.48 | Professional | UE · Used equipment | $794.33 | $831.76 | $1,096.48 |
MVP Health Care Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $1,862.09 | Facility | None | $186.21 | $186.21 | $1,862.09 |
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 $602.56 Median $1,000.00 Typical High $1,412.54 | Professional | None (both parts) | $602.56 | $1,000.00 | $1,412.54 |
United Setting Professional Modifier RR · Rental Typical Low $67.61 Median $104.71 Typical High $144.54 | Professional | RR · Rental | $67.61 | $104.71 | $144.54 |
United Setting Professional Modifier UE · Used equipment Typical Low $446.68 Median $741.31 Typical High $1,071.52 | Professional | UE · Used equipment | $446.68 | $741.31 | $1,071.52 |
Univera Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $1,445.44 | Facility | None | $870.96 | $870.96 | $1,445.44 |
Univera Setting Facility Modifier RR · Rental Typical Low $87.10 Median $87.10 Typical High $144.54 | Facility | RR · Rental | $87.10 | $87.10 | $144.54 |
Univera Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,412.54 Typical High $1,548.82 | Professional | None (both parts) | $870.96 | $1,412.54 | $1,548.82 |
Univera Setting Professional Modifier RR · Rental Typical Low $87.10 Median $141.25 Typical High $154.88 | Professional | RR · Rental | $87.10 | $141.25 | $154.88 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $794.33 Median $831.76 Typical High $1,096.48 | Professional | UE · Used equipment | $794.33 | $831.76 | $1,096.48 |
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 $97.72 Median $239.88 Typical High $323.59 | Professional | 26 · Professional part | $97.72 | $239.88 | $323.59 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | KH · Purchase or 1st rental month | $141.25 | $141.25 | $141.25 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | RB · Replacement part | $1,819.70 | $1,819.70 | $1,819.70 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | KH · Purchase or 1st rental month | $141.25 | $141.25 | $141.25 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | RB · Replacement part | $1,819.70 | $1,819.70 | $1,819.70 |
Where New York sits
The same service costs 3.2 times more in Minnesota than in Rhode Island. 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· 15th of 51
$1,072
MN $1,778RI $550
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.