How much rates vary
Facilitymedian $36 · 10th to 90th $28 to $79Professionalmedian $29 · 10th to 90th $22 to $58
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 $16.98 Median $23.99 Typical High $38.90 | Facility | None | $16.98 | $23.99 | $38.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $23.99 Typical High $38.90 | Professional | None (both parts) | $23.99 | $23.99 | $38.90 |
Aetna Setting Professional Modifier RR · Rental Typical Low $2.51 Median $2.51 Typical High $3.98 | Professional | RR · Rental | $2.51 | $2.51 | $3.98 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $17.78 Median $17.78 Typical High $28.84 | Professional | UE · Used equipment | $17.78 | $17.78 | $28.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $79.43 | Facility | None | $39.81 | $39.81 | $79.43 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $25.12 Median $25.12 Typical High $77.62 | Professional | None (both parts) | $25.12 | $25.12 | $77.62 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.51 Median $2.51 Typical High $8.13 | Professional | RR · Rental | $2.51 | $2.51 | $8.13 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $18.62 Median $18.62 Typical High $23.44 | Professional | UE · Used equipment | $18.62 | $18.62 | $23.44 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $3.80 Median $26.92 Typical High $36.31 | Professional | None (both parts) | $3.80 | $26.92 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $10.72 Median $27.54 Typical High $48.98 | Facility | None | $10.72 | $27.54 | $48.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $27.54 Typical High $33.11 | Professional | None (both parts) | $23.44 | $27.54 | $33.11 |
Cigna Setting Professional Modifier RR · Rental Typical Low $3.16 Median $3.16 Typical High $19.50 | Professional | RR · Rental | $3.16 | $3.16 | $19.50 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | UE · Used equipment | $17.38 | $17.38 | $17.38 |
Emblem Health Setting Facility Modifier None Typical Low $39.81 Median $64.57 Typical High $144.54 | Facility | None | $39.81 | $64.57 | $144.54 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $24.55 Median $26.30 Typical High $47.86 | Professional | None (both parts) | $24.55 | $26.30 | $47.86 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $33.11 | Professional | None (both parts) | $30.90 | $30.90 | $33.11 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $3.31 Median $3.39 Typical High $3.55 | Professional | RR · Rental | $3.31 | $3.39 | $3.55 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $22.91 Median $23.44 Typical High $25.12 | Professional | UE · Used equipment | $22.91 | $23.44 | $25.12 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $3.80 Median $23.44 Typical High $67.61 | Professional | None (both parts) | $3.80 | $23.44 | $67.61 |
United Setting Professional Modifier None (both parts) Typical Low $15.14 Median $25.70 Typical High $36.31 | Professional | None (both parts) | $15.14 | $25.70 | $36.31 |
United Setting Professional Modifier RR · Rental Typical Low $1.58 Median $2.63 Typical High $3.72 | Professional | RR · Rental | $1.58 | $2.63 | $3.72 |
United Setting Professional Modifier UE · Used equipment Typical Low $11.22 Median $19.50 Typical High $26.92 | Professional | UE · Used equipment | $11.22 | $19.50 | $26.92 |
Univera Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $36.31 | Facility | None | $30.90 | $30.90 | $36.31 |
Univera Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $33.11 | Professional | None (both parts) | $30.90 | $30.90 | $33.11 |
Univera Setting Professional Modifier RR · Rental Typical Low $3.31 Median $3.39 Typical High $3.55 | Professional | RR · Rental | $3.31 | $3.39 | $3.55 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $22.91 Median $23.44 Typical High $25.12 | Professional | UE · Used equipment | $22.91 | $23.44 | $25.12 |
4 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier MS · Maintenance fee Typical Low $2.51 Median $2.51 Typical High $3.98 | Professional | MS · Maintenance fee | $2.51 | $2.51 | $3.98 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $2.09 Median $5.50 Typical High $7.41 | Professional | 26 · Professional part | $2.09 | $5.50 | $7.41 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | KH · Purchase or 1st rental month | $3.39 | $3.39 | $3.39 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | KH · Purchase or 1st rental month | $3.39 | $3.39 | $3.39 |
Where New York sits
The same service costs 9.8 times more in Kansas than in Utah. 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
$28.84
KS $182UT $18.62
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.