How much rates vary
Facilitymedian $158 · 10th to 90th $123 to $251Professionalmedian $117 · 10th to 90th $105 to $195
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 $97.72 Median $112.20 Typical High $151.36 | Facility | None | $97.72 | $112.20 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $112.20 Typical High $151.36 | Professional | None (both parts) | $91.20 | $112.20 | $151.36 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $69.18 Median $87.10 Typical High $114.82 | Professional | UE · Used equipment | $69.18 | $87.10 | $114.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $281.84 | Facility | None | $141.25 | $141.25 | $281.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $117.49 Typical High $309.03 | Professional | None (both parts) | $112.20 | $117.49 | $309.03 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $11.75 Median $11.75 Typical High $33.88 | Professional | RR · Rental | $11.75 | $11.75 | $33.88 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $85.11 Median $85.11 Typical High $104.71 | Professional | UE · Used equipment | $85.11 | $85.11 | $104.71 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $16.60 Median $125.89 Typical High $162.18 | Professional | None (both parts) | $16.60 | $125.89 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $123.03 Typical High $199.53 | Facility | None | $44.67 | $123.03 | $199.53 |
Cigna Setting Facility Modifier RR · Rental Typical Low $4.47 Median $12.30 Typical High $19.95 | Facility | RR · Rental | $4.47 | $12.30 | $19.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $123.03 Typical High $131.83 | Professional | None (both parts) | $104.71 | $123.03 | $131.83 |
Cigna Setting Professional Modifier RR · Rental Typical Low $10.47 Median $10.47 Typical High $13.18 | Professional | RR · Rental | $10.47 | $10.47 | $13.18 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | UE · Used equipment | $79.43 | $79.43 | $79.43 |
Emblem Health Setting Facility Modifier None Typical Low $141.25 Median $229.09 Typical High $501.19 | Facility | None | $141.25 | $229.09 | $501.19 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $91.20 Median $104.71 Typical High $169.82 | Professional | None (both parts) | $91.20 | $104.71 | $169.82 |
Excellus BCBS Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Excellus BCBS Setting Facility Modifier RR · Rental Typical Low $15.85 Median $15.85 Typical High $15.85 | Facility | RR · Rental | $15.85 | $15.85 | $15.85 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $158.49 Typical High $162.18 | Professional | None (both parts) | $131.83 | $158.49 | $162.18 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $13.18 Median $15.85 Typical High $16.98 | Professional | RR · Rental | $13.18 | $15.85 | $16.98 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $100.00 Median $120.23 Typical High $128.82 | Professional | UE · Used equipment | $100.00 | $120.23 | $128.82 |
MVP Health Care Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $338.84 | Facility | None | $33.88 | $33.88 | $338.84 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $18.20 Median $81.28 Typical High $269.15 | Professional | None (both parts) | $18.20 | $81.28 | $269.15 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $117.49 Typical High $169.82 | Professional | None (both parts) | $77.62 | $117.49 | $169.82 |
United Setting Professional Modifier RR · Rental Typical Low $7.94 Median $12.02 Typical High $17.38 | Professional | RR · Rental | $7.94 | $12.02 | $17.38 |
United Setting Professional Modifier UE · Used equipment Typical Low $60.26 Median $89.13 Typical High $128.82 | Professional | UE · Used equipment | $60.26 | $89.13 | $128.82 |
Univera Setting Facility Modifier None Typical Low $151.36 Median $158.49 Typical High $158.49 | Facility | None | $151.36 | $158.49 | $158.49 |
Univera Setting Facility Modifier RR · Rental Typical Low $15.85 Median $15.85 Typical High $19.05 | Facility | RR · Rental | $15.85 | $15.85 | $19.05 |
Univera Setting Professional Modifier None (both parts) Typical Low $131.83 Median $158.49 Typical High $162.18 | Professional | None (both parts) | $131.83 | $158.49 | $162.18 |
Univera Setting Professional Modifier RR · Rental Typical Low $13.18 Median $15.85 Typical High $16.98 | Professional | RR · Rental | $13.18 | $15.85 | $16.98 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $100.00 Median $120.23 Typical High $128.82 | Professional | UE · Used equipment | $100.00 | $120.23 | $128.82 |
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 $10.72 Median $26.30 Typical High $35.48 | Professional | 26 · Professional part | $10.72 | $26.30 | $35.48 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | KH · Purchase or 1st rental month | $13.18 | $13.18 | $13.18 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | KH · Purchase or 1st rental month | $13.18 | $13.18 | $13.18 |
Where New York sits
The same service costs 14.1 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· 21st of 51
$123
KS $214IL $15.14
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.