How much rates vary
Facilitymedian $447 · 10th to 90th $427 to $759Professionalmedian $468 · 10th to 90th $324 to $676
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 $288.40 Median $457.09 Typical High $691.83 | Facility | None | $288.40 | $457.09 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $457.09 Typical High $691.83 | Professional | None (both parts) | $457.09 | $457.09 | $691.83 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $338.84 Median $338.84 Typical High $524.81 | Professional | UE · Used equipment | $338.84 | $338.84 | $524.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $891.25 | Professional | None (both parts) | $467.74 | $467.74 | $891.25 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $46.77 Median $46.77 Typical High $144.54 | Professional | RR · Rental | $46.77 | $46.77 | $144.54 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $354.81 Median $354.81 Typical High $371.54 | Professional | UE · Used equipment | $354.81 | $354.81 | $371.54 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $891.25 | Professional | None (both parts) | $67.61 | $67.61 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $426.58 Typical High $812.83 | Facility | None | $177.83 | $426.58 | $812.83 |
Cigna Setting Facility Modifier RR · Rental Typical Low $19.50 Median $42.66 Typical High $87.10 | Facility | RR · Rental | $19.50 | $42.66 | $87.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $457.09 | Professional | None (both parts) | $363.08 | $363.08 | $457.09 |
Cigna Setting Professional Modifier RR · Rental Typical Low $36.31 Median $36.31 Typical High $42.66 | Professional | RR · Rental | $36.31 | $36.31 | $42.66 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | UE · Used equipment | $275.42 | $275.42 | $275.42 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $69.18 Median $114.82 Typical High $251.19 | Facility | RR · Rental | $69.18 | $114.82 | $251.19 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None (both parts) | $575.44 | $575.44 | $575.44 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $588.84 Median $602.56 Typical High $645.65 | Professional | None (both parts) | $588.84 | $602.56 | $645.65 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $58.88 Median $60.26 Typical High $64.57 | Professional | RR · Rental | $58.88 | $60.26 | $64.57 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $323.59 Median $331.13 Typical High $354.81 | Professional | UE · Used equipment | $323.59 | $331.13 | $354.81 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None (both parts) | $67.61 | $67.61 | $67.61 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $363.08 Typical High $549.54 | Professional | None (both parts) | $251.19 | $363.08 | $549.54 |
United Setting Professional Modifier RR · Rental Typical Low $28.84 Median $46.77 Typical High $66.07 | Professional | RR · Rental | $28.84 | $46.77 | $66.07 |
United Setting Professional Modifier UE · Used equipment Typical Low $190.55 Median $269.15 Typical High $416.87 | Professional | UE · Used equipment | $190.55 | $269.15 | $416.87 |
Univera Setting Facility Modifier None Typical Low $426.58 Median $602.56 Typical High $602.56 | Facility | None | $426.58 | $602.56 | $602.56 |
Univera Setting Professional Modifier None (both parts) Typical Low $354.81 Median $602.56 Typical High $645.65 | Professional | None (both parts) | $354.81 | $602.56 | $645.65 |
Univera Setting Professional Modifier RR · Rental Typical Low $58.88 Median $60.26 Typical High $64.57 | Professional | RR · Rental | $58.88 | $60.26 | $64.57 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $190.55 Median $331.13 Typical High $354.81 | Professional | UE · Used equipment | $190.55 | $331.13 | $354.81 |
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 $40.74 Median $100.00 Typical High $134.90 | Professional | 26 · Professional part | $40.74 | $100.00 | $134.90 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | KH · Purchase or 1st rental month | $60.26 | $60.26 | $60.26 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | RB · Replacement part | $776.25 | $776.25 | $776.25 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | KH · Purchase or 1st rental month | $60.26 | $60.26 | $60.26 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | RB · Replacement part | $776.25 | $776.25 | $776.25 |
Where New York sits
The same service costs 4.7 times more in North Dakota 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· 19th of 51
$468
ND $813RI $174
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.